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Individual
KAYLA ROSE-ELAINE VICINO
Active
Individual
KAYLA ROSE-ELAINE VICINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2306249
MA
163W00000X
Registered Nurse
RN56441
RI
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN01733
RI
363LP0200X
Pediatric Nurse Practitioner
RN2306249
MA
Other
Enumeration date
01/30/2017
Last updated
12/12/2017
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