Individual
SAMAIYA BALOGUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3751 WHITEDOVE DR, LAKELAND, FL 33812-4164
(863) 852-6420
(863) 852-6420
Mailing address
304 E PINE ST # 1245, LAKELAND, FL 33801-4969
(863) 852-6420
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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