Roberta D. Livingston Lmt

NPI 1174921795 - Specialist - 174400000X

NPI Details
NPI 1174921795
Enumeration Date 12/13/2014
Last Updated 12/13/2014
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name ROBERTA D ROBERTA
Position OWNER
Phone (509) 947-2572
Fax
Practice Location
5219 W CLEARWATER AVE STE 14
KENNEWICK WA, 99336-1980, US
Phone (509) 947-2572
Fax
Business Location
18903 S FINLEY RD
KENNEWICK WA, 99337-8729, US
Phone (509) 947-2572
Fax
Toxanomy
Taxonomy Code 174400000X
License State Washington
License Number 60401637
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According to our database, Roberta D. Livingston Lmt NPI is 1174921795, taxonomy code is 174400000X and license number is 60401637, license state is located at Washington. Roberta D. Livingston Lmt physically located at 5219 W Clearwater Ave Ste 14, Kennewick WA, 99336-1980. NPI Number 1033115704 has the healthcare provider type.

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1174921795 NPI number is provided on an as is basis without warranty of any kind. 1174921795 is maintained by the National Plan & Provider Enumeration System. The contents of Roberta D. Livingston Lmt are for informational purposes only.