Individual
DEMETRIA LACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3264 PAYDAY LN, COLUMBUS, OH 43232-7429
(614) 348-6699
Mailing address
3264 PAYDAY LN, COLUMBUS, OH 43232-7429
(614) 348-6699
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
376K00000X
OH
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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