Individual
VY K LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14502 W MEEKER BLVD, SUN CITY WEST, AZ 85375-5282
(623) 524-8814
Mailing address
14502 W MEEKER BLVD, SUN CITY WEST, AZ 85375-5282
(623) 524-8814
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
65822
AZ
208M00000X
Hospitalist Physician
Primary
65822
AZ
Other
Enumeration date
04/03/2019
Last updated
03/08/2024
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