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Lavaneseia Jacobs

NPI 1821747585 · on the registry since 2022 · sole proprietor

Practice

Address
15704 Pony Pl
Tampa, FL 33624
Phone
(813) 506-9804

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Sex
Female
Record last updated
2022-03-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida