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Individual

LAKESHA DEMETRA HOLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
336 GRANDE SUNNINGDALE LOOP, DAYTONA BEACH, FL 32124-3039
(386) 675-2702
Mailing address
336 GRANDE SUNNINGDALE LOOP, DAYTONA BEACH, FL 32124-3039
(386) 675-2702

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
29100
FL

Other

Enumeration date
07/19/2021
Last updated
07/19/2021
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