Individual
TAANA VIVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3521 HAWORTH DR, RALEIGH, NC 27609-7244
(919) 782-1806
(919) 782-4756
Mailing address
6934 AVIATION BLVD STE B, GLEN BURNIE, MD 21061-2593
(443) 949-0814
(443) 949-0825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2011-01015
NC
Other
Enumeration date
07/07/2006
Last updated
05/11/2015
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