Individual
LAKISHA JELKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED NURSE ASST
Contact information
Practice address
19904 LAKEWOOD AVE, LYNWOOD, IL 60411-1435
(708) 965-9758
Mailing address
19904 LAKEWOOD AVE, LYNWOOD, IL 60411-1435
(708) 965-9758
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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