Ingrid Vicencio's National Provider Identifier (NPI) Details
Ingrid Vicencio,
NPI: 1497162119
Enumeration Date: 2014-07-14
Last updated: 2025-01-13
Sole Proprietor: NO
Status: active
Postal Address: 4164 BROCKTON AVE, RIVERSIDE, CA
Phone: 951-683-5193
Primary Practice Address: 4164 BROCKTON AVE, RIVERSIDE, CA
Practice's phone: 951-683-5193