Individual
RICO VESTIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
14762 SAGUARO ST, VICTORVILLE, CA 92394-5594
(424) 385-2573
Mailing address
14762 SAGUARO ST, VICTORVILLE, CA 92394-5594
(424) 385-2573
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
49655
CA
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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