WIEP T DE VRIES

ALTADENA, CA
NPI1831456797
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  515594)
Enumeration Date2012-04-17
Last Update Date2012-04-17
Business Address
-- WIEP T DE VRIES R.N.
647 DEVIRIAN PL
ALTADENA, CA 91001-4511
Phone number: 626-798-1592
Mailing Address
-- WIEP T DE VRIES R.N.
647 DEVIRIAN PL
ALTADENA, CA 91001-4511
Phone number: 626-798-1592