Individual
VIVIAN DENISE HIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 E 38TH ST, MARION, IN 46953
(765) 674-3321
(765) 677-5167
Mailing address
1014 WINSTON RD, JONESBORO, IN 46938-1253
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28096470A
IN
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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