Whalio Doctors

NPI 1023674702

Mark D Livingston, BA

Practitioner Peer Specialist Las Vegas, NM

Practice location

Address
2301 7th St STE a, Las Vegas, NM 87701-4966
Phone
(505) 454-9611

Registered specialties

Peer Specialist Primary
Other Service Providers Taxonomy 175T00000X Licence 276 (NM)

Registry record

NPI
1023674702
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 May 2019
Record last updated
11 Jun 2019

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.