Individual
MRS. VIVIAN J WORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
8217 TACOMA AVE S, TACOMA, WA 98408-5234
(253) 439-7478
Mailing address
8217 TACOMA AVE S, TACOMA, WA 98408-5234
(253) 439-7478
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
60197747
WA
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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