NPI 1326463381

Vivian Clinical Day Spa

Organisation Health Maintenance Organization Kent, WA

Practice location

Address: 12911 SE Kent Kangley Rd, Kent, WA 98030-7939
Phone: (253) 630-6768

Authorised official

Name: Larysa Krishchuk
Title: Owner
Phone: (253) 740-8166

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence MA00025381 (WA)

Other Health Maintenance Organization providers in Washington →

Registry record

NPI: 1326463381
Entity type: Organization
NPI issued: 28 Feb 2014
Record last updated: 28 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.