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1497881197
VIVIKA WAX
SAN DIEGO, CA
NPI
1497881197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 12765)
Enumeration Date
2007-02-26
Last Update Date
2018-07-09
Business Address
Ms. VIVIKA WAX NP
200 W ARBOR DR
SAN DIEGO, CA 92103
Phone number: 858-657-8530
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Mailing Address
Ms. VIVIKA WAX NP
PO BOX 232410
SAN DIEGO, CA 92193-2410
Phone number:
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