Organization
DEER VALLEY USD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL WELLS (COORDINATOR)
(623) 445-4952
Entity
Organization
Contact information
Practice address
2816 W. WHITMAN CT, ANTHEM, AZ 85086
(623) 551-8123
Mailing address
2816 W. WHITMAN CT, ANTHEM, AZ 85086
(623) 551-8123
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN123495
AZ
Other
Enumeration date
05/08/2007
Last updated
08/09/2007
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