Individual
IMANI NIA ALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
255 S ORANGE AVE STE 104, ORLANDO, FL 32801-3411
(352) 272-6713
(321) 326-1028
Mailing address
255 S ORANGE AVE STE 104, ORLANDO, FL 32801-3411
(352) 272-6713
(321) 326-1028
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002096899
VA
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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