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Individual

YANETA QUANE LACEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPT

Contact information

Practice address
2751 NAPA VALLEY CORPORATE DR, NAPA, CA 94558-6216
(707) 227-3900
(707) 227-3888
Mailing address
2751 NAPA VALLEY CORPORATE DR, NAPA, CA 94558-6216
(707) 227-3900
(707) 227-3888

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
34854
CA

Other

Enumeration date
04/21/2017
Last updated
01/02/2023
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