Individual
VEO PRAKAI DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-3246
Mailing address
1321 W 4TH ST, PARKER, AZ 85344-4346
(928) 916-7988
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN155272
AZ
364S00000X
Clinical Nurse Specialist
RN155272
AZ
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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