VINCENT DECIANTIS

DETROIT, MI
NPI1861867889
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: MI  4704274231)
Additional Taxonomies261QP2300X Clinic/Center, Primary Care
(Licence: MI  4704274231)
282N00000X General Acute Care Hospital
(Licence: MI  4704274231)
Enumeration Date2015-12-02
Last Update Date2025-05-07
Business Address
VINCENT DECIANTIS NP-C
11260 E JEFFERSON AVE
DETROIT, MI 48214-3320
Phone number: 313-749-0148
Mailing Address
VINCENT DECIANTIS NP-C
PO BOX 746723
ATLANTA, GA 30374-6723
Phone number: 312-733-9730