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
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MT-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.