Individual
VIVIAN LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
4665 TARANTELLA LN, SAN DIEGO, CA 92130-2465
(858) 997-7951
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2116
CT
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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