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Individual
VICENTE ALCANTAR
Active
Individual
VICENTE ALCANTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95078548
CA
167G00000X
Licensed Psychiatric Technician
29504
CA
Other
Enumeration date
01/30/2018
Last updated
04/02/2019
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