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Organization
MY VIVA INC.
Active
Organization
MY VIVA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOREEN WALES (CEO)
(775) 564-2524
Entity
Organization
Contact information
Practice address
2863 95TH ST STE 123, NAPERVILLE, IL 60564-9006
(780) 919-3436
Mailing address
940 LITTLE STAR DR, RENO, NV 89511-7310
(775) 564-2524
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/06/2026
Last updated
08/11/2026
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