AMANDA LAUREN LACEK

SAN DIEGO, CA
NPI1033642046
Former NameAMANDA LAUREN MORENO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95102040)
Enumeration Date2017-04-06
Last Update Date2017-04-06
Business Address
Mrs. AMANDA LAUREN LACEK R.N.
7947 NIGHTINGALE WAY
SAN DIEGO, CA 92123-2728
Phone number: 210-845-7863
Mailing Address
Mrs. AMANDA LAUREN LACEK R.N.
7947 NIGHTINGALE WAY
SAN DIEGO, CA 92123-2728
Phone number: 210-845-7863