AQUAILA DANIELLE LACY

STOCKTON, CA
NPI1902646706
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-05-29
Last Update Date2024-05-29
Business Address
AQUAILA DANIELLE LACY
2495 W MARCH LN
STOCKTON, CA 95207-8251
Phone number: 209-465-1080
Mailing Address
AQUAILA DANIELLE LACY
2495 W MARCH LN STE 125
STOCKTON, CA 95207-8224
Phone number: 209-465-1080