Individual
EVA M VIVIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
2202 S PARK ST, MADISON, WI 53713-1916
(608) 443-5480
(608) 443-5553
Mailing address
3434 E WASHINGTON AVE, MADISON, WI 53704-4155
(608) 443-5480
(608) 443-5553
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
14843-040
WI
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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