Individual
JAYME S VIVIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 E CHERRY ST, TROY, MO 63379-1513
(636) 528-3265
Mailing address
1000 E CHERRY ST, TROY, MO 63379-1513
(636) 528-3265
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2006021763
MO
Other
Enumeration date
03/29/2012
Last updated
10/10/2024
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