SearchCalifornia364SP0810X

Vivian Dungan

NPI 1811452030 · on the registry since 2019 · sole proprietor

Practice

Address
32237 Agua Dulce Rd
Agua Dulce, CA 91390
Phone
(818) 371-8313

Registry record

Primary taxonomy
364SP0810X
364SP0810X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California