Individual
DR. MONIQUE VIVETTE LAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
280 EAST BROADWAY, 806, JACKSON, WY 83001
(307) 734-6644
Mailing address
PO BOX 4392, JACKSON, WY 83001-4392
(307) 734-6644
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
96-478
AZ
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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