Individual
ALESHAVON ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6926 POLEY CREEK DR E, LAKELAND, FL 33811-2465
(863) 648-9307
Mailing address
6926 POLEY CREEK DR E, LAKELAND, FL 33811-2465
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/14/2019
Last updated
09/14/2019
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