Individual
MRS. VIVIAN CHARLY ISTIBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AP
Contact information
Practice address
7550 S RED RD, #116, SOUTH MIAMI, FL 33143-5343
(305) 669-6699
(305) 669-6699
Mailing address
7550 S RED RD, #116, SOUTH MIAMI, FL 33143-5343
(305) 669-6699
(305) 669-6699
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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