Individual
VIRGINIA E. WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1523
Mailing address
15601 N 19TH AVE LOT 173, PHOENIX, AZ 85023-4333
(602) 866-1761
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R11823
NM
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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