Individual
COREEN VICZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12440 FIRESTONE BLVD STE 3015, NORWALK, CA 90650-9333
(562) 864-7821
Mailing address
12440 FIRESTONE BLVD STE 3015, NORWALK, CA 90650-9333
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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