| Viola Nungary Ltd | |
|
2489 Lake Tahoe Blvd Suite 26 South Lake Tahoe CA 96150-7728 | |
| (530) 542-0800 | |
| Not Available |
| Full Name | Viola Nungary Ltd |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2489 Lake Tahoe Blvd, South Lake Tahoe, California |
| Authorized Official Name and Position | Viola E. Nungary (PRESIDENT) |
| Authorized Official Contact | 5305420800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Viola Nungary Ltd Po Box 13279 South Lake Tahoe CA 96151-3279 Ph: (530) 542-0800 | Viola Nungary Ltd 2489 Lake Tahoe Blvd Suite 26 South Lake Tahoe CA 96150-7728 Ph: (530) 542-0800 |
| NPI Number | 1538286570 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 12/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538286570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | CA MFT 31975 (California) | Primary |
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