Organization
VIVIFY SPECIALTY INFUSION LLC
Active
Organization
VIVIFY SPECIALTY INFUSION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A NEWMAN (OWNER)
(505) 677-8842
Entity
Organization
Contact information
Practice address
8300 CARMEL AVE NE STE 601, ALBUQUERQUE, NM 87122-3125
(505) 677-8842
Mailing address
8300 CARMEL AVE NE STE 601, ALBUQUERQUE, NM 87122-3125
(505) 677-8842
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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