VIC THE PICC SOUTHWEST, LLC

PHOENIX, AZ
NPI1255633384
Entity TypeOrganization
Authorized ContactCARY J CATRON
CEO/President
209-334-9400
Organization Subpart ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: AZ  RN051974)
Enumeration Date2010-11-22
Last Update Date2010-11-22
Business Address
VIC THE PICC SOUTHWEST, LLC
301 W INDIAN SCHOOL RD
PHOENIX, AZ 85013-3205
Phone number: 480-636-9005
Mailing Address
VIC THE PICC SOUTHWEST, LLC
777 S HAM LN STE D
LODI, CA 95242-3592
Phone number: 209-334-9400
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