Vicki Lane
NPI #1073862371 in Kent, Washington
Provider Information
- NPI Number
- 1073862371
- Entity Type
- Individual
- Name
- Vicki Lane
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Religious Nonmedical Nursing Personnel
- Enumeration Date
- Aug 31, 2012
- Last Updated
- Aug 31, 2012
Practice Location
- Address
- 24423 100TH AVE SE
- City
- Kent
- State
- Washington
- ZIP Code
- 98030-4846
- Phone
- (253) 812-2096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Religious Nonmedical Nursing Personnel |
| Nursing Home Administrator |
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