Vicki Lane

NPI 1073862371 - Nursing Home Administrator - 376G00000X

NPI Details
NPI 1073862371
Gender Female
Enumeration Date 08/31/2012
Last Updated 08/31/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
24423 100TH AVE SE
KENT WA, 98030-4846, US
Phone (253) 812-2096
Fax
Business Location
PO BOX 6057
KENT WA, 98064-6057, US
Phone
Fax
Toxanomy
Taxonomy Code 376G00000X
License State
License Number
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According to our database, Vicki Lane NPI is 1073862371, taxonomy code is 376G00000X Vicki Lane physically located at 24423 100th Ave Se, Kent WA, 98030-4846. NPI Number Vicki Lane has the Individual type.

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1073862371 NPI number is provided on an as is basis without warranty of any kind. 1073862371 is maintained by the National Plan & Provider Enumeration System. The contents of Vicki Lane are for informational purposes only.