Individual
MRS. KIASHAN JENKINS LOCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
5831 NW 4TH ST, OCALA, FL 34482-7508
(407) 310-5600
Mailing address
5831 NW 4TH ST, OCALA, FL 34482-7508
(407) 310-5600
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
3747P1801X
Personal Care Attendant
—
—
376K00000X
Nurse's Aide
Primary
975568
FL
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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