Individual
NILVIA EDITH VIAMONTE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDCS
Contact information
Practice address
3720 W MAUNA LOA LN, PHOENIX, AZ 85053-4655
(315) 640-5905
Mailing address
3720 W MAUNA LOA LN, PHOENIX, AZ 85053-4655
(315) 640-5905
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
261834
NY
2085U0001X
Diagnostic Ultrasound Physician
Primary
261834
NY
2471S1302X
Sonography Radiologic Technologist
261834
NY
2471V0105X
Vascular Sonography Radiologic Technologist
261834
NY
Other
Enumeration date
06/18/2022
Last updated
06/18/2022
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