Individual
MS. SUSANNA GERTRUIDA VAN ZYL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8638 W CANTERBURY DR, PEORIA, AZ 85345-4163
(623) 203-2322
Mailing address
8638 W CANTERBURY DR, PEORIA, AZ 85345-4163
(623) 203-2322
Taxonomy
Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
Primary
RN157728
AZ
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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