Individual
ADAM CICCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
16110 E 14TH ST, SAN LEANDRO, CA 94578-3002
(510) 471-5880
Mailing address
22331 MISSION BLVD, HAYWARD, CA 94541-3911
(510) 471-5880
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95014601
CA
Other
Enumeration date
02/04/2021
Last updated
01/06/2022
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