Ivana Licon is a Other Technician based in Stuart, CA. Ivana Licon practices in San Diego, CA. The NPI Number for Ivana Licon is 1659041044 and holds a License No. (California).
The current practice location address for Ivana Licon is 501 W Broadway Ste 800, San Diego, CA and can be reached out via phone at 855-832-6727.
Location: 501 W Broadway Ste 800, San Diego, CA, 34997-7462
Provider Profile Details
NPI Number
1659041044
Provider Name
Ivana Licon
Credential
Provider Entity Type
Individual
Gender
Female
Address
501 W Broadway Ste 800, San Diego, CA, 34997-7462
Phone Number
855-832-6727
Fax Number
Provider Enumeration Date
09/16/2021
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
501 W Broadway Ste 800
City
State
Zip
92101-3546
Phone Number
855-832-6727
Fax Number
Provider Business Mailing Address Details
Address
501 W Broadway Ste 800
City
State
Zip
92101-3546
Phone Number
855-832-6727
Fax Number
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
License No.
()
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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