Allyson Rose Viederis
Student in an Organized Health Care Education/Training Program in Naperville, IL. Individual provider (NPI-1).
NPI number1952882102
StatusActive
Last updated in NPPESAug 26, 2018
Details
- NPI
- 1952882102
- Entity type
- Individual (NPI-1)
- Name
- Allyson Rose Viederis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2018
- Last updated
- Aug 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
30 N Brainard StNaperville, IL 60540-4607
Phone 181-597-9211
Mailing address
6759 Crown RdgRockford, IL 61103-8872
Phone 181-597-9211
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All 42 Student in an Organized Health Care Education/Training Program providers in Naperville · All 6,255 providers in Naperville
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