Icasiano, Jennifer Dela Vega

Icasiano, Jennifer Dela Vega is an individual health care provider with primary practice located at 333 Sunset Ave Ste 140 , Suisun City CA 94585-2054. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Vascular Sonography, which is considered as her primary health care specialty. Icasiano, Jennifer Dela Vega can be contacted via phone (707) 334-1704.

Contact Information

Primary practice address
333 Sunset Ave Ste 140 Suisun City CA 94585-2054
Phone: (707) 334-1704
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Vascular Sonography 2471V0105X 00092881 California

Profile Details

NPI number 1063889830
LBN Legal business name Icasiano, Jennifer Dela Vega
Credentials RVS, BS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2015
Last updated Aug 28th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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