Individual
VIVIEN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
13802 SW 39TH ST, DAVIE, FL 33330-5704
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
125402
FL
Other
Enumeration date
01/20/2019
Last updated
01/20/2019
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