Jennifer Icasiano, RVS, BS

NPI 1063889830 · on the registry since 2015

Practice

Address: 333 Sunset Ave Ste 140
Suisun City, CA 94585
Phone: (707) 334-1704
Organisation at this address: E5 Therapy
Special Care Services, Llc
Access Laser & Vein Clinic, Inc.
Bloomwell Md Medical Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 2471V0105X
2471V0105X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-08-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California