Organization
DREAMWEAVER ANESTHESIA, LLC
Active
Other names
Viva Infusions. LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA EAGAN DNP (OWNER)
(336) 558-1837
Entity
Organization
Contact information
Practice address
132 S 1ST ST, MOUNT HOREB, WI 53572-1949
(608) 341-7817
Mailing address
132 S 1ST ST, MOUNT HOREB, WI 53572-1949
(608) 341-7817
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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