A Vivid Age LLC
Specialist/Technologist, Athletic Trainer in Washington, DC. Organization (NPI-2).
NPI number1881114619
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1881114619
- Entity type
- Organization (NPI-2)
- Legal business name
- A Vivid Age LLC
- Organization subpart
- No
- Enumeration date
- Jun 22, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
2716 29th St Se Apt B196Washington, DC 20020-3170
Phone 202-425-4137
Mailing address
2716 29th St Se Apt B196Washington, DC 20020-3170
Phone 202-425-4137
Authorized official
Viviana Scott
Owner
2024254137
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