Individual
LAKEYA CAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
915 W 7TH ST, CHESTER, PA 19013-3522
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9963614
PA
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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