Vivian J Worden LMP

NPI 1720381411 - Specialist - 174400000X

NPI Details
NPI 1720381411
Gender Female
Enumeration Date 12/17/2010
Last Updated 12/17/2010
Entity Type Individual
Active Over 5 years ago
Practice Location
8217 TACOMA AVE S
TACOMA WA, 98408-5234, US
Phone (253) 439-7478
Fax
Business Location
8217 TACOMA AVE S
TACOMA WA, 98408-5234, US
Phone (253) 439-7478
Fax
Toxanomy
Taxonomy Code 174400000X
License State Washington
License Number 60197747
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According to our database, Mrs. Vivian J Worden LMP NPI is 1720381411, taxonomy code is 174400000X and license number is 60197747, license state is located at Washington. Vivian J Worden LMP physically located at 8217 Tacoma Ave S, Tacoma WA, 98408-5234. NPI Number Vivian J Worden LMP has the Individual type.

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1720381411 NPI number is provided on an as is basis without warranty of any kind. 1720381411 is maintained by the National Plan & Provider Enumeration System. The contents of Vivian J Worden LMP are for informational purposes only.