Angelica De Vincenzis

NPI #1790517068 in Moscow, Idaho

Provider Information

NPI Number
1790517068
Entity Type
Individual
Name
Angelica De Vincenzis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Aug 15, 2024
Last Updated
Aug 15, 2024

Practice Location

Address
875 PERIMETER DR
City
Moscow
State
Idaho
ZIP Code
83844-9803
Phone
(208) 885-1673

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Specialist/Technologist - Athletic TrainerAthletic Trainer

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