Vivian Seville, CNA, LMT

NPI #1992986640 in Pine, Arizona

Provider Information

NPI Number: 1992986640
Entity Type: Individual
Name: Vivian Seville, CNA, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: CNA, LMT
Enumeration Date: Nov 23, 2007
Last Updated: Nov 23, 2007

Practice Location

Address: 6152 W. HARDSCRABBLE ROAD
City: Pine
State: Arizona
ZIP Code: 85544
Phone: (928) 978-2618

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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