Individual
LIVIA VICZKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
12164 79TH CT N, WEST PALM BEACH, FL 33412-2262
(561) 236-4760
Mailing address
12164 79TH CT N, WEST PALM BEACH, FL 33412-2262
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 36143
FL
Other
Enumeration date
02/08/2009
Last updated
02/08/2009
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