Individual
LAJASMAINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 SILVER SADDLE DR, TALLAHASSEE, FL 32310-3601
(850) 901-1633
Mailing address
1324 SILVER SADDLE DR, TALLAHASSEE, FL 32310-3601
(850) 901-1633
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA446100
FL
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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