Provider Demographics
NPI:1679350367
Name:SCARNICI, VICTORIA MARCIA
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:MARCIA
Last Name:SCARNICI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 N WILLOW AVE
Mailing Address - Street 2:
Mailing Address - City:RIALTO
Mailing Address - State:CA
Mailing Address - Zip Code:92376-5831
Mailing Address - Country:US
Mailing Address - Phone:909-688-8890
Mailing Address - Fax:
Practice Address - Street 1:224 N WILLOW AVE
Practice Address - Street 2:
Practice Address - City:RIALTO
Practice Address - State:CA
Practice Address - Zip Code:92376-5831
Practice Address - Country:US
Practice Address - Phone:909-688-8890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker