Individual
DENISE DARLENE VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA-C/CST
Contact information
Practice address
2830 CALDER ST, BEAUMONT, TX 77702-1809
(409) 899-7280
Mailing address
12208 GARNER RD, BEAUMONT, TX 77705-7574
(409) 679-7128
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16-647
WI
Other
Enumeration date
07/02/2017
Last updated
07/02/2017
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