VIVIANA VAN WAGONER

ALBUQUERQUE, NM
NPI1952299919
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NM  LPN-23043)
Enumeration Date2025-06-26
Last Update Date2025-06-26
Business Address
VIVIANA VAN WAGONER LPN
203 CALIFORNIA ST NE
ALBUQUERQUE, NM 87108-1802
Phone number: 505-206-0288
Mailing Address
VIVIANA VAN WAGONER LPN
203 CALIFORNIA ST NE
ALBUQUERQUE, NM 87108-1802
Phone number: 505-206-0288
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