| NPI | 1760050900 |
|---|---|
| Doing Business As | VIVIAN SOVRAN ND |
| Entity Type | Organization |
| Authorized Contact | VIVIAN SOVRAN Owner 206-321-1587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 175F00000X Naturopath |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-06-15 |