Individual
VANESSA VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1916 PASEO SAN LUIS, SIERRA VISTA, AZ 85635-4614
(520) 458-1505
Mailing address
1916 PASEO SAN LUIS, SIERRA VISTA, AZ 85635-4614
(520) 458-1505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9564
AZ
363AM0700X
Medical Physician Assistant
PA2777
NV
Other
Enumeration date
01/27/2023
Last updated
09/18/2023
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