Individual
LASHANTA A ROLLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4952 WINDWARD WAY, FORT LAUDERDALE, FL 33312-5245
(954) 380-1852
Mailing address
4952 WINDWARD WAY, FORT LAUDERDALE, FL 33312-5245
(954) 380-1852
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9435273
FL
Other
Enumeration date
11/28/2021
Last updated
11/28/2021
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