PHYLLIS ODELL LANE

QUINCY, FL
NPI1124282918
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: FL  PN5156289)
Enumeration Date2008-07-11
Last Update Date2008-07-11
Business Address
Mrs. PHYLLIS ODELL LANE LPN
278 LASALLE LEFALL DR
QUINCY, FL 32351-5324
Phone number: 850-539-2888
Mailing Address
Mrs. PHYLLIS ODELL LANE LPN
278 LASALLE LEFALL DR
QUINCY, FL 32351-5324
Phone number: 850-539-2888