Individual
DIANNE EVETTE VICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
(800) 879-4471
(610) 834-7525
Mailing address
6009 WAKEHURST WAY, BALTIMORE, MD 21239-2420
(443) 629-9637
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP33332
MD
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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