Provider Demographics
NPI:1265688121
Name:MURESAN, VIORICA
Entity Type:Individual
Prefix:MRS
First Name:VIORICA
Middle Name:
Last Name:MURESAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VICKI
Other - Middle Name:
Other - Last Name:MURESAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:18716 NE DAVID RD
Mailing Address - Street 2:
Mailing Address - City:BRUSH PRAIRIE
Mailing Address - State:WA
Mailing Address - Zip Code:98606
Mailing Address - Country:US
Mailing Address - Phone:360-892-7162
Mailing Address - Fax:
Practice Address - Street 1:18716 NE DAVIS RD
Practice Address - Street 2:
Practice Address - City:BRUSH PRAIRIE
Practice Address - State:WA
Practice Address - Zip Code:98606
Practice Address - Country:US
Practice Address - Phone:360-892-7162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home