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Individual
VIVIEN TALOSIG SHADD
Active
Individual
VIVIEN TALOSIG SHADD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC,CDE
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
559188
CA
363LF0000X
Family Nurse Practitioner
Primary
19568
CA
Other
Enumeration date
03/03/2010
Last updated
10/24/2021
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