Individual
MICHELLE NICOLE VIGILANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 HAVEN AVE STE 160, RANCHO CUCAMONGA, CA 91730-5839
(909) 994-1286
Mailing address
25910 ACERO STE 160, MISSION VIEJO, CA 92691-2777
(909) 994-1286
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-REOYAW
CA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/05/2021
Last updated
05/28/2024
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