IVAN VICENTE, IDMT
Military Health Care Provider - Independent Duty Medical Technicians
Active
Individual
NPI: 1710201553
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Military Health Care Provider - Independent Duty Medical Technicians | 1710I1003X | Yes | - |
Frequently Asked Questions
NPI 1710201553 is the National Provider Identifier for IVAN VICENTE, IDMT, a Military Health Care Provider - Independent Duty Medical Technicians provider located in Ellsworth Afb, SD. This NPI was enumerated on March 23, 2010.
IVAN VICENTE, IDMT practices at 433 BLACK ELK CT, Ellsworth Afb, SD 57706.
Quick Facts
- NPI
- 1710201553
- Type
- Individual
- Enumerated
- Mar 23, 2010
- Last Updated
- Mar 23, 2010
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