Individual
MELINDA VICENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
680 W NYE LN, SUITE 205, CARSON CITY, NV 89703-1575
(775) 882-2211
Mailing address
680 W NYE LN, SUITE 205, CARSON CITY, NV 89703-1575
(775) 882-2211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2875
NV
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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