Individual
MRS. GINA M VAIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1209 W INDIAN SCHOOL RD, PHOENIX, AZ 85013-3108
(602) 707-2715
(602) 707-2040
Mailing address
1226 W OSBORN RD, PHOENIX, AZ 85013-3618
(602) 707-2007
(602) 707-2040
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP015886
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058648
—
AZ
Enumeration date
02/07/2007
Last updated
07/09/2007
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