Individual
MRS. VIVIANE EJLERS WOLTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AP, RN
Contact information
Practice address
5173 S UNIVERSITY DR, DAVIE, FL 33328-4508
(954) 850-1093
Mailing address
500 SW 75TH TER, PLANTATION, FL 33317-3211
(954) 850-1093
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9167415
FL
171100000X
Acupuncturist
Primary
AP2714
FL
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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