Search › Arizona › 251J00000X
Detra Vance
NPI 1568218378 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1729 E Caldwell St
Phoenix, AZ 85042 - Phone
- (602) 348-8278
Registry record
- Primary taxonomy
- 251J00000X
251J00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-24
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 Arizona