Individual
IVY H VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
74333 CA-111, STE 204, PALM DESERT, CA 92260
(760) 507-5921
Mailing address
1040 POINSETTIA CIR, CALIMESA, CA 92320-4918
(760) 507-5921
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F09221297
CA
Other
Enumeration date
06/08/2022
Last updated
10/26/2023
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