Individual
LAQUISTA MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4178 LORENZO CT APT 2, JACKSONVILLE, FL 32208-2991
(904) 803-7464
Mailing address
4178 LORENZO CT APT 2, JACKSONVILLE, FL 32208-2991
(904) 803-7464
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 1306191
FL
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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