All Medicaid billing entities listing VIVANCO, ISMAEL (SUPERINTENDENT) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Washington | 1 | $9K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | NORTHWEST EDUCATION SERVICE DISTRICT 189 | ANACORTES, WA | Local Education Agency (LEA) | $9K |