MS. Vida Vickers, PHYSICIAN, ASSISTANT
MS. Vida Vickers, PHYSICIAN, ASSISTANT is a Physician Assistant in Pomona, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2010
Practice location Address checks out
2112 S Garey Ave Ste CPomona, CA 91766-5600
Phone: (909) 464-0520
Fax: (909) 464-0523
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA20543 (CA) |
|---|
Record details
| NPI number | 1831493113 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHYSICIAN , ASSISTANT |
| Sole proprietor | Yes |
| NPI enumerated | December 31, 2010 |
| Last updated in NPPES | December 31, 2010 |
| Mailing address | 2112 S Garey Ave Ste C, Pomona, CA 91766-5600 |
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