Individual
ARDENNES DREW VICKERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(669) 282-2780
Mailing address
900 PEPPER TREE LN APT 9108, SANTA CLARA, CA 95051-5273
(702) 525-2159
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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