LACY BERKSHIRE

FORT HUACHUCA, AZ
NPI1730548637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AZ  LP042484)
Enumeration Date2016-02-19
Last Update Date2016-05-06
Business Address
-- LACY BERKSHIRE
2240 WINROW RD USA MEDDAC, RWBAHC
FORT HUACHUCA, AZ 85631
Phone number: 520-533-3634
Mailing Address
-- LACY BERKSHIRE
2240 WINROW AVE USA MEDDAC, RWBAHC
FORT HUACHUCA, AZ 85613
Phone number: 520-533-3634