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Jan Raymond Vicencio, NP
Adult Health Nurse Practitioner in Newport Beach, California
NPI 1295109304

Jan Raymond Vicencio is an Adult Health Nurse Practitioner based in Bellflower, CA and is specialized in Adult Health. Jan Raymond Vicencio practices in Newport Beach, CA and has the professional credentials of NP. The NPI Number for Jan Raymond Vicencio is 1295109304 and holds a License No. 95003057 (California).

The current practice location address for Jan Raymond Vicencio is 2901 W Coast Hwy, Newport Beach, CA and can be reached out via phone at 562-229-4813.

Location: 2901 W Coast Hwy, Newport Beach, CA, 90706-3270
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295109304
Provider Name
Jan Raymond Vicencio
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
2901 W Coast Hwy, Newport Beach, CA, 90706-3270
Phone Number
562-229-4813
Fax Number
Provider Enumeration Date
12/01/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2901 W Coast Hwy
City
Newport Beach
State
California
Zip
92663-4023
Phone Number
562-229-4813
Fax Number
person
Provider Business Mailing Address Details
Address
2901 W Coast Hwy
City
Newport Beach
State
California
Zip
92663-4023
Phone Number
562-229-4813
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
95003057 (California)
Definition
Definition to come...
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