Individual
LAKEITH CHARLENE WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNA/CNA
Contact information
Practice address
215 BROADUS STREET, STURGIS, MI 49091
(877) 659-4500
(888) 972-3891
Mailing address
1649 W ST SE APT T1, WASHINGTON, DC 20020-8114
(202) 749-0747
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00064726
MD
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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