JALISSA LAKE

TAMPA, FL
NPI1962991588
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2018-05-09
Last Update Date2022-10-23
Business Address
JALISSA LAKE
4940 NORTHDALE BLVD
TAMPA, FL 33624-1075
Phone number: 813-485-8444
Mailing Address
JALISSA LAKE
7108 SOUTH KANNER HWY,
STUART, FL 34997-7462
Phone number: 866-610-0580
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