ELLISA LACY

WASILLA, AK
NPI1619319886
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AK  6962)
Enumeration Date2013-07-29
Last Update Date2013-07-29
Business Address
-- ELLISA LACY LPN
3435 N WOLVERINE DR
WASILLA, AK 99654-2704
Phone number: 907-631-3830
Mailing Address
-- ELLISA LACY LPN
3435 N WOLVERINE DR
WASILLA, AK 99654-2704
Phone number: 907-631-3830
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