VICMAR BURGONIO

IRVINE, CA
NPI1710604525
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  NP95022430)
Enumeration Date2022-10-24
Last Update Date2022-10-24
Business Address
VICMAR BURGONIO FNP
6670 ALTON PKWY
IRVINE, CA 92618-3734
Phone number: 833-574-2273
Mailing Address
VICMAR BURGONIO FNP
6670 ALTON PKWY
IRVINE, CA 92618-3734
Phone number:
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