Individual
SHAELISA LASAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPE
Contact information
Practice address
2500 MARTINWOOD DR, ORLANDO, FL 32808-4940
(321) 695-8597
Mailing address
PO BOX 547722, ORLANDO, FL 32854-7722
(321) 695-8597
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
174H00000X
Health Educator
—
—
347C00000X
Private Vehicle
—
—
374J00000X
Doula
—
—
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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