Search › California › 101YM0800X
Nactalye Vicencio
NPI 1679019285 · on the registry since 2017
Practice
- Address
- 3601 Prescott Rd Apt 71
Modesto, CA 95356 - Phone
- (831) 265-9328
Additional practice sites
- 3601 Prescott Rd Apt 71, Modesto, CA
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California