Individual
MRS. MARYANN JOYCE BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
914 40TH AVE EAST, BRADENTON, FL 34208
(941) 592-3120
(941) 745-2939
Mailing address
914 40TH AVE EAST, BRADENTON, FL 34208
(941) 592-3120
(941) 745-2939
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
FL18696E307
FL
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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