Lacey Jo Cannon

NPI #1811609167 in Keyser, West Virginia

Provider Information

NPI Number: 1811609167
Entity Type: Individual
Name: Lacey Jo Cannon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Home Health Aide
Enumeration Date: Dec 19, 2022
Last Updated: Dec 19, 2022

Practice Location

Address: 1952 NEW CREEK HWY
City: Keyser
State: West Virginia
ZIP Code: 26726-7494
Phone: (304) 597-1258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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