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Individual
VANDARA CHIM
Active
Individual
VANDARA CHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
363L00000X
Nurse Practitioner
95000381
CA
363LF0000X
Family Nurse Practitioner
Primary
95000381
CA
Other
Enumeration date
04/03/2014
Last updated
12/13/2014
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