BLAIR M VIVIRITO

WASHINGTON, DC
NPI1700511995
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: FL  11020457)
Enumeration Date2022-07-21
Last Update Date2022-07-21
Business Address
BLAIR M VIVIRITO
460 NEW YORK AVE NW UNIT 904
WASHINGTON, DC 20001-5319
Phone number: 702-526-8599
Mailing Address
BLAIR M VIVIRITO
PSC 2 BOX 9464
APO, AE 09012-0095
Phone number: