JODI GAYLE LAKE

KOKOMO, IN
NPI1457826869
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2018-10-11
Last Update Date2018-10-11
Business Address
JODI GAYLE LAKE
2523 LORENTSON CT
KOKOMO, IN 46901
Phone number: 765-252-9909
Mailing Address
JODI GAYLE LAKE
2523 LORENTSON CT
KOKOMO, IN 46901-7089
Phone number: