Jessica Lane
NPI #1023613270 in Lavalette, West Virginia
Provider Information
- NPI Number
- 1023613270
- Entity Type
- Individual
- Name
- Jessica Lane
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Dec 3, 2020
- Last Updated
- Dec 18, 2020
Practice Location
- Address
- 4757 ROUTE 152
- City
- Lavalette
- State
- West Virginia
- ZIP Code
- 25535-9638
- Phone
- (304) 522-1945
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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