Individual
VICKIE HEREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19354 N HUNTERS RUN, SURPRISE, AZ 85387-6483
(773) 269-7592
Mailing address
19354 N HUNTERS RUN, SURPRISE, AZ 85387-6483
(773) 269-7592
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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