Organization
LOYAL SOURCE GOVERNMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSALINA LUCIA LABADESSA (COMPLIANCE & CONTRACTS MANAGER)
(407) 605-6427
Entity
Organization
Contact information
Practice address
2800 N TENAYA WAY STE 201, LAS VEGAS, NV 89128-1100
(725) 231-0171
Mailing address
12612 CHALLENGER PKWY STE 365, ORLANDO, FL 32826-2784
(407) 605-6427
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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