Individual
LATESHA VONTRICE GASKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6763 KRENSON OAKS CIR, LAKELAND, FL 33810-2157
(813) 468-5303
Mailing address
6763 KRENSON OAKS CIR, LAKELAND, FL 33810-2157
(813) 468-5303
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
L17000056650
FL
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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