Individual
VIVIAN T ANUOLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13335 FALL MANOR DR, DALLAS, TX 75243-2431
(469) 337-3822
Mailing address
13335 FALL MANOR DR, DALLAS, TX 75243-2431
(469) 337-3822
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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