Individual
MRS. VIVIAN ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERT. HAIR LOSS SPEC
Contact information
Practice address
518 KENWOOD RD, FAYETTEVILLE, GA 30214-3490
(404) 787-3811
Mailing address
518 KENWOOD RD, FAYETTEVILLE, GA 30214-3490
(404) 787-3811
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
L195460131
LA
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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