LATRECA MARIE KELLEY

WICHITA, KS
NPI1174863898
Professional NameLATRECA MARIE MARKS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
(Licence: KS  05352)
Additional Taxonomies374U00000X Home Health Aide
Enumeration Date2013-02-15
Last Update Date2013-02-15
Business Address
-- LATRECA MARIE KELLEY Cma/cna
4438 E FALCON ST
WICHITA, KS 67220-1776
Phone number: 316-347-6633
Mailing Address
-- LATRECA MARIE KELLEY Cma/cna
PO BOX 20803
WICHITA, KS 67208-6803
Phone number: 316-347-6633