Individual
MRS. LAKESHEANA TANTANIA ENGLISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9070 7TH AVE, JACKSONVILLE, FL 32208-2136
(904) 674-4632
Mailing address
9070 7TH AVE, JACKSONVILLE, FL 32208-2136
(904) 674-4632
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
236060
FL
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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