Individual
MISS VICTORIA ELIZABETH BARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1718 W VINEYARD RD, PHOENIX, AZ 85041-5804
(602) 232-4253
(602) 243-4969
Mailing address
1367 S COUNTRY CLUB DR UNIT 1057, MESA, AZ 85210-5289
(602) 550-5038
(602) 243-4969
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP010751
AZ
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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