Individual
REBECCA WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 ALABASTER CV, SANFORD, FL 32771-3607
(321) 710-7747
Mailing address
1003 ALABASTER CV, SANFORD, FL 32771-3607
(321) 710-7747
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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