Individual
LAMESHA DOUSHETTE KILLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 THORNBERRY BRANCH LN, DAYTONA BEACH, FL 32124-3652
(386) 872-4892
(386) 256-2320
Mailing address
1712 WESTERN RD, SOUTH DAYTONA, FL 32119-1932
(386) 265-2802
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649622358
CASE MANAGEMENT
FL
Enumeration date
04/11/2019
Last updated
06/11/2019
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