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Individual

VIVIAN LE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN BSN

Contact information

Practice address
13553 POWAY CREEK RD, POWAY, CA 92064-7007
(858) 610-8469
Mailing address
13553 POWAY CREEK RD, POWAY, CA 92064-7007
(858) 610-8469

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95171060
CA

Other

Enumeration date
12/17/2018
Last updated
12/17/2018
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