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Individual

VIVIAN SHEILA DUNGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
32237 AGUA DULCE RD, AGUA DULCE, CA 91390
(818) 371-8313
Mailing address
32237 AGUA DULCE RD, AGUA DULCE, CA 91390
(818) 371-8313

Taxonomy

Speciality
Code
Description
License number
State
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
Primary
358986
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
358986
LICENSE NUMBER
CA
01
358986
LICENSE NUMBER
Enumeration date
02/01/2019
Last updated
02/01/2019
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