Individual
JAMIE VANDEVEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SCHOOL NURSE
Contact information
Practice address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
(602) 449-2051
Mailing address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
(602) 449-2051
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN144305
AZ
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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