Individual
MS. VEDA RAE PIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
318 HOME ALONE, BYLAS, AZ 85530
(928) 961-0797
Mailing address
318 HOME ALONE, BYLAS, AZ 85530
(928) 961-0797
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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