Jessica Lorraine Lucas, R-MA
In Home Supportive Care in Glendale, AZ. Individual provider (NPI-1).
NPI number1437658317
StatusActive
Last updated in NPPESFeb 6, 2018
Details
- NPI
- 1437658317
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jessica Lorraine Lucas
- Credential
- R-MA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 6, 2018
- Last updated
- Feb 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
5049 W Beverly LnGlendale, AZ 85306-2029
Phone 602-550-5839 · Fax 602-550-5839
Mailing address
Po Box 5085Peoria, AZ 85385-5085
Phone 602-550-5839
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All 30 In Home Supportive Care Agency providers in Glendale · All 7,642 providers in Glendale
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