Individual
MS. TOSHIKA RENA LASANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1134 OGDEN ST, GREENSBORO, NC 27406-1277
(336) 339-1180
Mailing address
1134 OGDEN ST, GREENSBORO, NC 27406-1277
(336) 339-1180
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
29830284
NC
376K00000X
Nurse's Aide
Primary
252453
NC
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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