MICHAEL LACY

COLVILLE, WA
NPI1477168201
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2020-09-09
Last Update Date2020-09-09
Business Address
MICHAEL LACY
2542 BODIE MOUNTAIN RD
COLVILLE, WA 99114-9663
Phone number: 509-732-4037
Mailing Address
MICHAEL LACY
2542 BODIE MOUNTAIN RD
COLVILLE, WA 99114-9663
Phone number: 509-732-4037