RYAN DEXTER LACY

OAKLAND, CA
NPI1861960023
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101Y00000X Counselor
Enumeration Date2018-11-06
Last Update Date2024-03-08
Business Address
Mr. RYAN DEXTER LACY
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
Mailing Address
Mr. RYAN DEXTER LACY
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
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