MR. Martin Inocentes Vicente

NPI #1801215256 in Wpafb, Ohio

Provider Information

NPI Number
1801215256
Entity Type
Individual
Name
MR. Martin Inocentes Vicente
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Apr 14, 2014
Last Updated
Jan 9, 2019

Practice Location

Address
4881 SUGAR MAPLE DR
City
Wpafb
State
Ohio
ZIP Code
45433
Phone
(937) 257-4023

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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