Individual
VIVIANA URREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 EBENEZER RD STE 103, ROCK HILL, SC 29732-1077
(512) 694-7512
Mailing address
1411 ANDERSON ST, GASTONIA, NC 28054-1222
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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