Vincent Nicasio JR.

NPI #1578953477 in Somerton, Arizona

Provider Information

NPI Number: 1578953477
Entity Type: Individual
Name: Vincent Nicasio JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Jan 29, 2015
Last Updated: Jan 29, 2015

Practice Location

Address: 471 N MARSHALL LOOP RD
City: Somerton
State: Arizona
ZIP Code: 85350-6216
Phone: (928) 388-4453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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