Organization
MY VIVA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOREEN WALES (CEO)
(780) 919-3436
Entity
Organization
Contact information
Practice address
7939 ORANGE PLAINS DR, SPARKS, NV 89436-8737
(780) 919-3436
Mailing address
7939 ORANGE PLAINS DR, SPARKS, NV 89436-8737
(780) 919-3436
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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