Individual
DIANA WOODWARD VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
40 S GILBERT RD, GILBERT, AZ 85296-1047
(480) 545-2117
Mailing address
1015 E BENRICH DR, GILBERT, AZ 85295-8352
(860) 922-6035
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN162725
AZ
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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