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Individual
VIYALETA VAITULEVICH
Active
Individual
VIYALETA VAITULEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017108
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/14/2016
Last updated
06/19/2017
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