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Individual

ASHLEE LAFAVOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1737 WILD DUNES CIR, ORANGE PARK, FL 32065-2627
(888) 528-7670
Mailing address
245 RIVERSIDE AVE STE 100, JACKSONVILLE, FL 32202-4930
(888) 528-7670

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
3747P1801X
Personal Care Attendant
Primary
376J00000X
Homemaker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002572200
FL
Enumeration date
12/29/2016
Last updated
11/19/2025
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