Individual
CARRIE L DEWEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6602 N 75TH AVE, GLENDALE, AZ 85303-3504
(602) 435-6103
Mailing address
6602 N 75TH AVE, GLENDALE, AZ 85303-3504
(602) 435-6103
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
121470-30
WI
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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