Individual
MS. LAKAYSHA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
443 WILLIAMS ST, QUINCY, FL 32351-3676
(850) 782-1782
Mailing address
443 WILLIAMS ST, QUINCY, FL 32351-3676
(850) 782-1782
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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