Individual
MRS. BIANCA TRIVITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCMA
Contact information
Practice address
310 MULLET RUN, MILFORD, DE 19963-5371
(302) 424-0600
Mailing address
307 MEETING HOUSE LN, CAMDEN, DE 19934-1263
(302) 632-3952
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
43222744
DE
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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