| NPI | 1659981884 |
|---|---|
| Doing Business As | LIV BY ADVANTIA HEALTH |
| Entity Type | Organization |
| Authorized Contact | VICTORIA DODSON Credentialing Manager 443-398-0189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 104100000X Social Worker |
| 171M00000X Case Manager/Care Coordinator | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2024-08-06 |