DETRA L VANCE

PHOENIX, AZ
NPI1568218378
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251J00000X Nursing Care
(Licence: AZ  999950215)
Enumeration Date2024-04-24
Last Update Date2024-04-24
Business Address
Ms. DETRA L VANCE
1729 E CALDWELL ST
PHOENIX, AZ 85042-8044
Phone number: 602-348-8278
Mailing Address
Ms. DETRA L VANCE
1729 E CALDWELL ST
PHOENIX, AZ 85042-8044
Phone number: 602-348-8278