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Individual
MARIELA BADUM
Active
Individual
MARIELA BADUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
723539
CA
163WC1500X
Community Health Registered Nurse
73297
CA
164X00000X
Licensed Vocational Nurse
LVN216445
CA
Other
Enumeration date
02/23/2007
Last updated
12/01/2008
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