Individual
MRS. VIRGINIA MARY PERRY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
USA MEDDAC, RWBAHC, 2240 E. WINROW AVE, MCXJ-QM CREDENTIALS, FORT HUACHUCA, AZ 85613-7079
(520) 533-1696
Mailing address
USA MEDDAC, RWBAHC, 2240 E. WINROW AVE, MCXJ-QM CREDENTIALS, FORT HUACHUCA, AZ 85613-7079
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP004174
AZ
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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