Gustafson, Vicky Kay
Gustafson, Vicky Kay is an individual health care provider with primary practice located at 14174 Vincente Dr , Moreno Valley CA 92553-3505. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Gustafson, Vicky Kay can be contacted via phone (951) 924-5551.Contact Information
Primary practice address
14174 Vincente Dr
Moreno Valley CA 92553-3505
Phone: (951) 924-5551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 363657 | California |
Profile Details
| NPI number | 1487879854 |
|---|---|
| LBN Legal business name | Gustafson, Vicky Kay |
| Credentials | REGISTERED NURSE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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