Individual
LORENE CLARK LACAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1617 BROADWAY ST, VALLEJO, CA 94590-2406
(866) 251-4514
(707) 556-3755
Mailing address
1617 BROADWAY ST, VALLEJO, CA 94590-2406
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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