Individual
DAISY VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5683 US HIGHWAY 129 S, JASPER, FL 32052-3743
(386) 792-6540
(386) 638-0049
Mailing address
5683 US HIGHWAY 129 S, JASPER, FL 32052-3743
(386) 792-6540
(386) 638-0049
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN1280792
FL
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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