Jennifer Dela Vega Icasiano, RVS, BS

NPI #1063889830 in Suisun City, California

Provider Information

NPI Number: 1063889830
Entity Type: Individual
Name: Jennifer Dela Vega Icasiano, RVS, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Radiologic Technologist - Vascular Sonography
Credential: RVS, BS
Enumeration Date: Aug 28, 2015
Last Updated: Aug 28, 2015

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiologic Technologist - Vascular Sonography — Vascular Sonography	2471V0105X	Primary

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