Provider Demographics
NPI:1790977916
Name:CORAM VIALET, WENDY V (ND)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:V
Last Name:CORAM VIALET
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8821
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00801-1821
Mailing Address - Country:US
Mailing Address - Phone:340-774-0224
Mailing Address - Fax:340-774-0224
Practice Address - Street 1:9151 ESTATE THOMAS,
Practice Address - Street 2:FOOTHILLS STE. 104
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-774-0224
Practice Address - Fax:340-774-0224
Is Sole Proprietor?:No
Enumeration Date:2007-08-11
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099-0000104175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath