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Individual

LAKEIVA SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OWNER

Contact information

Practice address
653 HOLYOKE CT APT C, TALLAHASSEE, FL 32301-8906
(850) 270-8206
Mailing address
3013 GARFIELD ST, TALLAHASSEE, FL 32301-6909
(850) 296-5444

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
236109

Other

Enumeration date
08/08/2019
Last updated
08/08/2019
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