JAKE VICERA

FOLSOM, CA
NPI1053683805
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2012-02-08
Last Update Date2012-02-08
Business Address
-- JAKE VICERA PT
1301 E BIDWELL ST STE. 201
FOLSOM, CA 95630-3565
Phone number: 916-983-5915
Mailing Address
-- JAKE VICERA PT
1301 E BIDWELL ST STE. 201
FOLSOM, CA 95630-3565
Phone number: