Individual
POKA LAGWANA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8340 EARL CIR W, JACKSONVILLE, FL 32219-3620
(904) 397-1349
Mailing address
8340 EARL CIR W, JACKSONVILLE, FL 32219-3620
(904) 397-1349
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5207871
FL
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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