NICOLETTE DANIELE LAKE

OAKLEY, CA
NPI1447734025
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy310400000X Assisted Living Facility
(Licence: CA  079200771)
Enumeration Date2018-09-20
Last Update Date2021-06-01
Business Address
NICOLETTE DANIELE LAKE
531 OHARA AVE
OAKLEY, CA 94561-5741
Phone number: 925-219-6165
Mailing Address
NICOLETTE DANIELE LAKE
531 OHARA AVE
OAKLEY, CA 94561-5741
Phone number: 925-219-6165