Individual
VICTORIA D QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4609 W PARK ST, LAVEEN, AZ 85339-4284
(520) 213-5557
Mailing address
4609 W PARK ST, LAVEEN, AZ 85339-4284
(520) 213-5557
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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