Individual
VICKIE SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29439 CANYON VALLEY DR, LAKE ELSINORE, CA 92530-7282
(951) 505-3977
Mailing address
29439 CANYON VALLEY DR, LAKE ELSINORE, CA 92530-7282
(951) 505-3977
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
577639
CA
Other
Enumeration date
10/05/2014
Last updated
10/05/2014
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