Individual
HARMILA VIALVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
188 BEACH 115TH ST, APT 1, ROCKAWAY PARK, NY 11694-2408
(646) 250-7969
Mailing address
188 BEACH 115 ST, APT 1, ROCKAWAY, NY 11694-0191
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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