Individual
MS. VICKI J MAYHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1915 E REZANOF DR, KODIAK, AK 99615-6602
(907) 486-9545
Mailing address
1915 E REZANOF DR, KODIAK, AK 99615-6602
(907) 486-9545
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
19438
AK
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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