Individual
VIVIAN B GIUDICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 ENCINO PL NE, STE A6, ALBUQUERQUE, NM 87102-2641
(505) 224-7400
(505) 224-7404
Mailing address
801 ENCINO PL NE, STE A6, ALBUQUERQUE, NM 87102-2641
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
193400000X
Single Specialty Group
Primary
85-0367991
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26526
—
NM
Enumeration date
10/03/2006
Last updated
06/22/2016
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