Individual
TAKIYA LASHAY HARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
311 PINE ST, LEESBURG, FL 34748-5971
(352) 636-6085
Mailing address
5818 WHISPER PINE DR, LEESBURG, FL 34748-1333
(352) 636-6085
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN9295324
FL
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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