LACEY CANNON
Home Health Aide
Active
Individual
NPI: 1811609167
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Home Health Aide | 374U00000X | Yes | 70974 (WV) |
Frequently Asked Questions
NPI 1811609167 is the National Provider Identifier for LACEY CANNON, a Home Health Aide provider located in Keyser, WV. This NPI was enumerated on December 19, 2022.
LACEY CANNON practices at 1952 NEW CREEK HWY, Keyser, WV 26726.
Quick Facts
- NPI
- 1811609167
- Type
- Individual
- Enumerated
- Dec 19, 2022
- Last Updated
- Dec 19, 2022
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