ALEXANDRIA PEBBLES VICENCIO

ROCKFORD, IL
NPI1043083587
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.028650)
Enumeration Date2023-11-06
Last Update Date2023-11-06
Business Address
ALEXANDRIA PEBBLES VICENCIO FNP-BC
4215 NEWBURG RD
ROCKFORD, IL 61108-6479
Phone number: 815-988-8500
Mailing Address
ALEXANDRIA PEBBLES VICENCIO FNP-BC
4215 NEWBURG RD
ROCKFORD, IL 61108-6479
Phone number: 815-988-8500
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