Lacey Jo Cannon
Lacey Jo Cannon is a Home Health Aide in Keyser, West Virginia. Licensed in West Virginia. Registered with an NPI since 2022.
- Licensed in
- WV
- In the registry since
- 2022
Practice location Address checks out
1952 New Creek HwyKeyser, WV 26726-7494
Phone: (304) 597-1258
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Aide (primary) | Taxonomy 374U00000X · Licence 70974 (WV) |
|---|
Record details
| NPI number | 1811609167 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 19, 2022 |
| Last updated in NPPES | December 19, 2022 |
| Certification date | December 6, 2022 |
| Mailing address | 1952 New Creek Hwy, Keyser, WV 26726-7494 |
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