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Latesha Vontrice Gaskins

Day Training, Developmentally Disabled Services in Lakeland, FL. Individual provider (NPI-1).

NPI number1932662467
StatusActive
Last updated in NPPESApr 11, 2019

Details

NPI
1932662467
Entity type
Individual (NPI-1)
Name
Latesha Vontrice Gaskins
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 11, 2019
Last updated
Apr 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled ServicesL17000056650FLYes

Practice location

6763 Krenson Oaks Cir
Lakeland, FL 33810-2157

Phone 813-468-5303

Mailing address

6763 Krenson Oaks Cir
Lakeland, FL 33810-2157

Phone 813-468-5303

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