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Individual

JANIQUE JADE LAKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NA

Contact information

Practice address
1509 MAIN ST, POMEROY, WA 99347-9708
(509) 843-7625
Mailing address
PO BOX 965, POMEROY, WA 99347-0965
(509) 843-7625

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HM60732804
WA

Other

Enumeration date
03/26/2019
Last updated
03/26/2019
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