Individual
WENDI LYN DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20521 E CANARY CT, QUEEN CREEK, AZ 85142-3406
(208) 420-0109
Mailing address
20521 E CANARY CT, QUEEN CREEK, AZ 85142-3406
(208) 420-0109
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN189174
AZ
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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