Individual
CRISTAL LASHONDA DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
873 PLUMBRIDGE CT, JACKSONVILLE, FL 32218-6138
(904) 704-3864
Mailing address
873 PLUMBRIDGE CT, JACKSONVILLE, FL 32218-6138
(904) 704-3864
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5163106
FL
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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