Individual provider · Type 1 NPI

Vivian Seville, CNA, LMT

Specialist · Pine, AZ

NPI number 1992986640 Active

Practice location

6152 W. Hardscrabble Road
Pine, AZ 85544

Fax (928) 476-3186

Mailing address

PO Box 2453
Pine, AZ 85544-2453

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMT-02072P (AZ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

About NPI 1992986640

Vivian Seville, CNA, LMT's National Provider Identifier is 1992986640, issued on Nov 23, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Pine, AZ. The record was last updated on Nov 23, 2007.