Search › South Dakota › 1710I1003X
Ivan Vicente, IDMT
NPI 1710201553 · on the registry since 2010
Practice
- Address
- 433 Black Elk Ct
Ellsworth Afb, SD 57706 - Phone
- (605) 521-3502
Registry record
- Primary taxonomy
- 1710I1003X
1710I1003X
- Sex
- Male
- Record last updated
- 2010-03-23
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 South Dakota