Individual
VIVIANA MAGALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1811 W 2ND ST STE LL200, GRAND ISLAND, NE 68803-5420
(308) 833-3981
Mailing address
115 E 15TH ST, GRAND ISLAND, NE 68801-2509
(308) 385-8387
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22403
NE
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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