Individual
LADAISHA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1831 GILMORE AVE, LAKELAND, FL 33805-3017
(863) 519-0575
Mailing address
PO BOX 1559, BARTOW, FL 33831-1559
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN8182741
FL
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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