Irene Fay Lucious
NPI #1215588454 in Victorville, California
Provider Information
- NPI Number
- 1215588454
- Entity Type
- Individual
- Name
- Irene Fay Lucious
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Sep 27, 2019
- Last Updated
- Sep 27, 2019
Practice Location
- Address
- 14072 MARE LN
- City
- Victorville
- State
- California
- ZIP Code
- 92394-7527
- Phone
- (760) 403-6079
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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