Wiep T De Vries, R.N.

NPI #1831456797 in Altadena, California

Provider Information

NPI Number
1831456797
Entity Type
Individual
Name
Wiep T De Vries, R.N.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse
Credential
R.N.
Enumeration Date
Apr 17, 2012
Last Updated
Apr 17, 2012

Practice Location

Address
647 DEVIRIAN PL
ZIP Code
91001-4511
Phone
(626) 798-1592

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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