AUGIE PROVENCIO

Family Medicine

Active Individual
NPI: 1467590158

Practice Address

600 B ST BLDG A-C
Livingston, CA 95334

Phone: (209) 850-3500

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes A48099 (CA)

Frequently Asked Questions

NPI 1467590158 is the National Provider Identifier for AUGIE PROVENCIO, a Family Medicine provider located in Livingston, CA. This NPI was enumerated on February 2, 2007.
AUGIE PROVENCIO practices at 600 B ST BLDG A-C, Livingston, CA 95334.

Quick Facts

NPI
1467590158
Type
Individual
Enumerated
Feb 2, 2007
Last Updated
Mar 23, 2022

Nearby Providers