Individual
LESHAYLA GILLYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4299 LAKE RICHMOND DR, ORLANDO, FL 32811-5624
(407) 694-8278
Mailing address
4299 LAKE RICHMOND DR, ORLANDO, FL 32811-5624
(407) 694-8278
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G463538886730
—
FL
Enumeration date
08/29/2019
Last updated
08/29/2019
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