Vivian Annette Koll ADN

NPI 1083798656 - Registered Nurse - 163W00000X

NPI Details
NPI 1083798656
Gender Female
Enumeration Date 10/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3415 MARTIN LUTHER KING JR BLVD
SACRAMENTO CA, 95817-3648, US
Phone (916) 875-2932
Fax (916) 875-2921
Business Location
7670 VELAGA CT
SACRAMENTO CA, 95828-4844, US
Phone (916) 688-8177
Fax
Toxanomy
Taxonomy Code 163W00000X
License State California
License Number 614631
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According to our database, Ms. Vivian Annette Koll ADN NPI is 1083798656, taxonomy code is 163W00000X and license number is 614631, license state is located at California. Vivian Annette Koll ADN physically located at 3415 Martin Luther King Jr Blvd, Sacramento CA, 95817-3648. NPI Number Vivian Annette Koll ADN has the Individual type.

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1083798656 NPI number is provided on an as is basis without warranty of any kind. 1083798656 is maintained by the National Plan & Provider Enumeration System. The contents of Vivian Annette Koll ADN are for informational purposes only.