Individual
ARLENE ACOSTA VICENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2425 EAST ST, #15, CONCORD, CA 94520-1926
(925) 682-9232
Mailing address
48942 WOODGROVE CMN, FREMONT, CA 94539-7586
(408) 813-5558
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15024
CA
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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