Organization
VIVAKESO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ALEXIS ARNOLD RPSGT, RST, CCSH (OWNER)
(817) 723-1462
Entity
Organization
Contact information
Practice address
2718 NE 152ND AVE, VANCOUVER, WA 98684-7887
(817) 723-1462
Mailing address
2718 NE 152ND AVE, VANCOUVER, WA 98684-7887
(817) 723-1462
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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