CANDICE VICENCIO

ROCKFORD, IL
NPI1003442880
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209020086)
Enumeration Date2020-03-12
Last Update Date2024-05-06
Business Address
CANDICE VICENCIO DNP, FNP-BC
4215 NEWBURG RD
ROCKFORD, IL 61108-6479
Phone number: 815-988-8500
Mailing Address
CANDICE VICENCIO DNP, FNP-BC
4215 NEWBURG RD
ROCKFORD, IL 61108-6479
Phone number: 815-988-8500
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