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Individual

JASHALA MILSAP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5707 N 22ND ST, TAMPA, FL 33610-4350
(813) 239-8069
(813) 231-7324
Mailing address
3820 GAZEBO POND LN, TAMPA, FL 33613-2035
(813) 368-0321

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5257994
FL

Other

Enumeration date
12/12/2024
Last updated
12/12/2024
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