Access Laser & Vein Clinic, Inc.

NPI #1033588017 in Suisun City, California

Provider Information

NPI Number: 1033588017
Entity Type: Organization
Organization Name: Access Laser & Vein Clinic, Inc.
Primary Specialty: Specialist
Enumeration Date: Sep 19, 2015
Last Updated: Sep 19, 2015

Practice Location

Address: 333 SUNSET AVE STE 140
City: Suisun City
State: California
ZIP Code: 94585-2054
Phone: (707) 334-1704

Authorized Official

Name: JENNIFER ICASIANO, BS, RVS
Title: CHIEF FINANCIAL OFFICER
Phone: (707) 334-1704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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