Individual
MR. OSCAR VIVANCO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
39500 LIBERTY ST, FREMONT, CA 94530
(510) 770-8133
(510) 770-8140
Mailing address
39500 LIBERTY ST, FREMONT, CA 94530
(510) 770-8133
(510) 770-8140
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
731612
CA
163WC1500X
Community Health Registered Nurse
Primary
731612
CA
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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