Individual
MOLLY LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4216 OLD MILL COVE TRL W, JACKSONVILLE, FL 32277-1582
(912) 675-5193
(904) 256-4646
Mailing address
4216 OLD MILL COVE TRL W, JACKSONVILLE, FL 32277-1582
(912) 675-5193
(904) 256-4646
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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