Provider Demographics
NPI:1659893360
Name:AKEE, JEANICE LARAY (LAC)
Entity Type:Individual
Prefix:
First Name:JEANICE
Middle Name:LARAY
Last Name:AKEE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 LORETO PL
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-1817
Mailing Address - Country:US
Mailing Address - Phone:714-865-7573
Mailing Address - Fax:
Practice Address - Street 1:2020 LORETO PL
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-1817
Practice Address - Country:US
Practice Address - Phone:714-865-7573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17675171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist