Augie N. Provencio
NPI #1467590158 in Livingston, California
Provider Information
- NPI Number
- 1467590158
- Entity Type
- Individual
- Name
- Augie N. Provencio
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 2, 2007
- Last Updated
- Mar 23, 2022
Practice Location
- Address
- 600 B ST BLDG A-C
- City
- Livingston
- State
- California
- ZIP Code
- 95334-9593
- Phone
- (209) 850-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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