MISTY DAWN LACY

OAKLAND, CA
NPI1366176737
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  706913)
Enumeration Date2022-07-12
Last Update Date2022-07-12
Business Address
MISTY DAWN LACY LVN
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
Mailing Address
MISTY DAWN LACY LVN
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
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