Individual
LASANDRA POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
335 HINSON CIR, HAVANA, FL 32333-6342
(229) 519-3722
Mailing address
PO BOX 1273, BAINBRIDGE, GA 39818-1273
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
11/23/2024
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