Individual
MRS. VONIKA VICIOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6532 ELLE AVE, PORTAGE, MI 49024-2504
(917) 312-7632
Mailing address
6532 ELLE AVE, PORTAGE, MI 49024-2504
(917) 312-7632
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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