IDA MADOKA LIGHTFOOT

PLANO, TX
NPI1851397046
Former NameIDA M ARMSTRONG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  593409)
Enumeration Date2005-06-22
Last Update Date2021-07-19
Business Address
IDA MADOKA LIGHTFOOT RN, PMHNP
6404 INTERNATIONAL PKWY STE 1010
PLANO, TX 75093-8346
Phone number: 972-267-1988
Mailing Address
IDA MADOKA LIGHTFOOT RN, PMHNP
1241 FOREST PARK DR
WEATHERFORD, TX 76087-2805
Phone number: 817-821-9978
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