Individual
MS. VICKI LOUISE EDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1753 E 8TH AVE, MESA, AZ 85204-3617
(480) 472-6465
Mailing address
1420 E BETHANY HOME RD, APT. 15, PHOENIX, AZ 85014-2006
(602) 245-4501
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP032476
AZ
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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