NICOLE VICENCIO

SHELBY TOWNSHIP, MI
NPI1790261170
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
Enumeration Date2018-07-18
Last Update Date2018-07-18
Business Address
NICOLE VICENCIO
7401 22 MILE RD
SHELBY TOWNSHIP, MI 48317-2307
Phone number: 586-580-5500
Mailing Address
NICOLE VICENCIO
52747 BAKER RD
CHESTERFIELD, MI 48047-3140
Phone number: 810-941-7397