VIVIAN MAC

APPLE VALLEY, CA
NPI1477982114
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  23840)
Enumeration Date2013-11-04
Last Update Date2021-11-30
Business Address
VIVIAN MAC NP
19201 BEAR VALLEY RD
APPLE VALLEY, CA 92308-2702
Phone number: 760-240-8347
Mailing Address
VIVIAN MAC NP
19201 BEAR VALLEY RD
APPLE VALLEY, CA 92308-2702
Phone number: 760-240-8347