Vivian Clinical Day Spa
NPI #1326463381 in Kent, Washington
Provider Information
- NPI Number
- 1326463381
- Entity Type
- Organization
- Organization Name
- Vivian Clinical Day Spa
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Feb 28, 2014
- Last Updated
- Feb 28, 2014
Practice Location
- Address
- 12911 SE KENT KANGLEY RD
- City
- Kent
- State
- Washington
- ZIP Code
- 98030-7939
- Phone
- (253) 630-6768
Authorized Official
- Name
- LARYSA KRISHCHUK
- Title
- OWNER
- Phone
- (253) 740-8166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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