MICANEASHA ROSS

LAKE CITY, FL
NPI1740776590
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  PN5194792)
Enumeration Date2018-07-05
Last Update Date2018-07-05
Business Address
MICANEASHA ROSS
439 SW MICHIGAN ST
LAKE CITY, FL 32025-0440
Phone number: 352-374-5600
Mailing Address
MICANEASHA ROSS
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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