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Vida Vickers, PHYSICIAN ASSISTANT
NPI 1831493113 · on the registry since 2010 · sole proprietor
Practice
- Address
- 2112 S Garey Ave Ste C
Pomona, CA 91766 - Phone
- (909) 464-0520
- Fax
- (909) 464-0523
- Organisation at this address
- St John Community Health Center
Feras And Hisham A Medical Corporation
Widodo & Lee Dds A Professional Dental CorpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-12-31
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