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Individual

LOMAX KONMENA SNEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8050 103RD ST APT A2, JACKSONVILLE, FL 32210-6601
(202) 427-3481
Mailing address
8050 103RD ST APT A2, JACKSONVILLE, FL 32210-6601
(202) 427-3481

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
FL
376K00000X
Nurse's Aide
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
83-3756744
FL
05
833756744
FL
Enumeration date
08/12/2019
Last updated
08/12/2019
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