Individual
MR. DOMINIC VINCENTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
641 CAMPUS DR, STANFORD, CA 94305-6201
(650) 498-6449
Mailing address
443 ADDISON AVE, PALO ALTO, CA 94301-3202
(402) 319-1207
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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