Individual
MRS. LAVOSHIA DEON MCCRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFA
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 228-0812
Mailing address
1756 CHANDELIER CIR W, JACKSONVILLE, FL 32225-5554
(904) 379-8014
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
02/12/2006
Last updated
07/08/2007
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