Individual
TESSA ELIZABETH VASCONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 UNIVERSITY DR, BOISE, ID 83725-0002
(208) 426-1000
Mailing address
25 MELSENNA CT, DANVILLE, CA 94506-4803
(925) 250-9506
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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