Individual
MS. LACREASHA Y COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2421 NE 57TH BLVD LOT 66, GAINESVILLE, FL 32609-2610
(352) 278-3807
Mailing address
2421 NE 57TH BLVD LOT 66, GAINESVILLE, FL 32609-2610
(352) 278-3807
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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