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Individual
PA VUE
Active
Individual
PA VUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95128778
CA
163WC0400X
Case Management Registered Nurse
95128778
CA
163WP2201X
Ambulatory Care Registered Nurse
95128778
CA
Other
Enumeration date
01/08/2025
Last updated
03/13/2025
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