VINCENT FREDRICK ICALIA

LAS VEGAS, NV
NPI1447846316
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NV  TEMP836563)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-12-15
Last Update Date2021-02-19
Business Address
VINCENT FREDRICK ICALIA
9127 W RUSSELL RD STE 110
LAS VEGAS, NV 89148-1253
Phone number: 702-878-0070
Mailing Address
VINCENT FREDRICK ICALIA
PO BOX 840857
DALLAS, TX 75284-0857
Phone number: 702-878-0070