LACEY TACKETT

PAYSON, AZ
NPI1346887494
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: AZ  LM226)
Enumeration Date2019-12-09
Last Update Date2019-12-09
Business Address
LACEY TACKETT
342 E WINDY WAY
PAYSON, AZ 85541-2174
Phone number: 928-951-6410
Mailing Address
LACEY TACKETT
342 E WINDY WAY
PAYSON, AZ 85541-2174
Phone number: 928-951-6410
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