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VICKY E DANTZLER RN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1710066576

Individual Registrant:
 VICKY E DANTZLER RN
Gender: F
Sole Proprietor

Location and contact information for practice:
324 RALPH LONG RD  DEFUNIAK SPRINGS, FL 32433-0830 US
Tel: 850-533-6018  Fax: --

Contact information for business:
324 RALPH LONG RD  DEFUNIAK SPRINGS, FL 32433-0830 US
Tel: 850-533-6018  Fax: --

Registration Information:
NPI: 1710066576
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N163W00000XNursing Service Providers
Registered Nurse
FLRN3378712
Y222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Developmental Therapist
FLRN3378712

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
015798500FL05




HEALTH CARE JOBS FL - Page 1



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