Individual
MS. LACANDICE TAMEKA BRINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 NW SAGAMORE TER, PORT ST LUCIE, FL 34983-8665
(772) 940-4046
Mailing address
502 NW SAGAMORE TER, PORT ST LUCIE, FL 34983-8665
(772) 940-4046
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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