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JASMINE LAKENDRA GAINER CNA

>> Nurse's Aide >> Nursing Service Related Providers

Registrant NPI Number: 1861802878

Individual Registrant:
 JASMINE LAKENDRA GAINER CNA
Gender: F
Sole Proprietor

Location and contact information for practice:
815 5TH ST SW  LIVE OAK, FL 32064-2141 US
Tel: 386-249-2491  Fax: --

Contact information for business:
815 5TH ST SW  LIVE OAK, FL 32064-2141 US
Tel: 386-249-2491  Fax: --

Registration Information:
NPI: 1861802878
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y376K00000XNursing Service Related Providers
Nurse's Aide
FL250136

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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