VIVAS TATACHAR

SEARCY, AR
NPI1790489656
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-27
Last Update Date2023-03-27
Business Address
VIVAS TATACHAR DO
3214 E RACE AVE
SEARCY, AR 72143-4810
Phone number: 501-380-2298
Mailing Address
VIVAS TATACHAR DO
3214 E RACE AVE
SEARCY, AR 72143-4810
Phone number: