VIVIAN TANUDJAJA

LONG BEACH, CA
NPI1831692086
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2018-03-14
Last Update Date2018-03-14
Business Address
VIVIAN TANUDJAJA
6481 ATLANTIC AVE APT 135
LONG BEACH, CA 90805-2339
Phone number: 562-612-5696
Mailing Address
VIVIAN TANUDJAJA
6481 ATLANTIC AVE APT 135
LONG BEACH, CA 90805-2339
Phone number: 562-612-5696
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