Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER DELA VEGA ICASIANO, RVS, BS
ActiveJENNIFER DELA VEGA ICASIANO, RVS, BS is a 2471V0105X healthcare provider located in SUISUN CITY, California. NPI 1063889830 is currently active in the NPPES registry. Verify at CMS.
2471V0105X · SUISUN CITY, CA
Registration Details
- NPI Number
- 1063889830
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2015 (10.972091224501 yrs)
- Last Updated
- Aug 28, 2015
- License
-
00092881 (CA)
Practice Information
- Address
-
333 SUNSET AVE STE 140SUISUN CITY, CA, 945852054Browse CA providers · Browse ZIP 94585
- Phone
- 7073341704
- Primary Specialty
-
2471V0105X
2471V0105X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.