Individual
LASHANNON JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7120 TIMMERMAN LN, JACKSONVILLE, FL 32244-8604
(904) 485-3052
Mailing address
7120 TIMMERMAN LN, JACKSONVILLE, FL 32244-8604
(904) 485-3052
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
04167693Z
FL
385H00000X
Respite Care
04167693Z
FL
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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