Individual
JUNIOR LASHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
544 MILLHOUSE LN, ORANGE PARK, FL 32065-2297
(904) 888-1811
Mailing address
544 MILLHOUSE LN, ORANGE PARK, FL 32065-2297
(904) 888-1811
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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