Individual
MAYELIN VIERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2103 NORTH DIVISION STREET, ATTN: CREDENTIALS, TACOMA, WA 98433
(253) 966-7081
(253) 966-7848
Mailing address
2103 NORTH DIVISION STREET, ATTN: CREDENTIALS, TACOMA, WA 98433
(253) 966-7081
(253) 966-7848
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1470485651
US ARMY
WA
Enumeration date
06/15/2022
Last updated
06/15/2022
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