Individual
MRS. REBECCA JEAN VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
3330 S LANCASTER RD, DALLAS, TX 75216-4531
(214) 371-0474
(214) 371-3933
Mailing address
1402 DOWDY FERRY RD, HUTCHINS, TX 75141-4027
(214) 371-0474
(217) 371-3933
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
654073
TX
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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