Individual
BRIDGETTE FONDA MONTFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1253 MITCHELL ST, LAKELAND, FL 33801-2132
(863) 838-6321
Mailing address
1253 MITCHELL ST, LAKELAND, FL 33801-2132
(863) 838-6321
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
92698
FL
Other
Enumeration date
02/23/2019
Last updated
02/23/2019
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