Sevachko, Tianna Grace

Sevachko, Tianna Grace is an individual health care provider with primary practice located at 2609 7Th St , Las Vegas NM 87701-4863. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Sevachko, Tianna Grace can be contacted via phone (505) 425-5242.

Contact Information

Primary practice address
2609 7Th St Las Vegas NM 87701-4863
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RP00008755 New Mexico

Profile Details

NPI number 1033636030
LBN Legal business name Sevachko, Tianna Grace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2017
Last updated Aug 29th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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