Individual
LAKEISHA KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8852 LONDON ST, NORFOLK, VA 23503-3830
(757) 630-7616
Mailing address
8852 LONDON ST, NORFOLK, VA 23503-3830
(757) 630-7616
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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