MICHAEL VICIOSO

LONG BEACH, CA
NPI1932449642
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA  22745)
Enumeration Date2013-02-18
Last Update Date2020-02-10
Business Address
MICHAEL VICIOSO PNP
3835 E 7TH ST
LONG BEACH, CA 90804-5303
Phone number: 562-473-4441
Mailing Address
MICHAEL VICIOSO PNP
3835 E 7TH ST
LONG BEACH, CA 90804-5303
Phone number: 562-473-4441
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