Vivian Tanudjaja
Vivian Tanudjaja is an Athletic Trainer in Long Beach, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
6481 Atlantic Ave Apt 135Long Beach, CA 90805-2339
Phone: (562) 612-5696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X (CA) |
|---|
Record details
| NPI number | 1831692086 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 14, 2018 |
| Last updated in NPPES | March 14, 2018 |
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