Individual
ALICIA MARIE LACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 CALIFORNIA ST, OCEANSIDE, CA 92054-5711
(760) 212-1919
Mailing address
516 S HORNE ST, OCEANSIDE, CA 92054-4251
(760) 420-4669
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A6742059
DRIVER LICENSE
CA
Enumeration date
01/15/2020
Last updated
01/15/2020
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