Individual
LASHANDA GAITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
7309 S HONORE ST, CHICAGO, IL 60636-3702
(773) 349-1792
Mailing address
7309 S HONORE ST, CHICAGO, IL 60636-3702
(773) 349-1792
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
04/09/2022
Last updated
04/09/2022
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