SearchCalifornia163WH0200X

Vickie Sutton

NPI 1053714097 · on the registry since 2014 · sole proprietor

Practice

Address
29439 Canyon Valley Dr
Lake Elsinore, CA 92530
Phone
(951) 505-3977

Registry record

Primary taxonomy
163WH0200X
163WH0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-10-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California