Individual
YURIKOAOKIO MOTOMOCHI LIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
209 WILMINGTON CIR, CLOVIS, NM 88101-9382
(575) 693-6726
Mailing address
209 WILMINGTON CIR, CLOVIS, NM 88101-9382
(575) 693-6726
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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