Most Relevant Information
Provider Data
| NPI Number: | 1003447111 |
| Provider Name: | VIVIANA ACOSTA |
| Entity Type: | Individual |
| Taxonomy Code: | 372500000X |
| Specialty: | Chore Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/28/2020 |
| Last Updated: | 01/28/2020 |
Provider Practice Location
332 S DECATUR BLVD
LAS VEGAS
NV
891072804
Practice Location Phone/Fax
| Phone: | 7026655654 |
| Fax: |
Provider Mailing Location
332 S DECATUR BLVD
LAS VEGAS
NV
891072804
Provider Mailing Phone/Fax
| Phone: | 7026655654 |
| Fax: |