Lacy, Jena

Lacy, Jena is an individual health care provider with primary practice located at 1310 Club Dr , Vallejo CA 94592-1187. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Lacy, Jena can be contacted via phone (707) 638-5970.

Contact Information

Primary practice address
1310 Club Dr Vallejo CA 94592-1187
Phone: (707) 638-5970
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1750976825
LBN Legal business name Lacy, Jena
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2021
Last updated Mar 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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