Individual
MARIA DOLORES VICUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2400
(800) 748-3243
Mailing address
12050 ACEVES AVE, OROSI, CA 93647-2627
(559) 305-3166
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95228378
CA
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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