Vivian Tieu

NPI #1063270353 in Colton, California

Provider Information

NPI Number: 1063270353
Entity Type: Individual
Name: Vivian Tieu
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 11, 2024
Last Updated: Mar 11, 2024

Practice Location

Address: 1501 VIOLET ST
City: Colton
State: California
ZIP Code: 92324-1603
Phone: (909) 580-9661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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