Individual
MRS. VICTORIA K TRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MED
Contact information
Practice address
3811 N 44TH ST, PHOENIX, AZ 85018-5420
(480) 484-6209
(480) 484-6228
Mailing address
3811 N 44TH ST, PHOENIX, AZ 85018-5420
(480) 484-6209
(480) 484-6228
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN030303
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
626640
AHCCCS
AZ
Enumeration date
03/08/2007
Last updated
07/08/2007
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