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Search › Arizona › 106S00000X

Jonathan David Vicente

NPI 1245146653 · on the registry since 2026 · sole proprietor

Practice

Address
15411 W Waddell Rd Ste 102
Surprise, AZ 85379
Phone
(623) 282-4742
Organisation at this address
Patheway Life
Thrive Health Holdings, Inc.
Renewed Perspectives Counseling
Royulty By Dezign Enterprize Inc
Age Of Wisdom Senior Care Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-24

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 Arizona