Individual
MRS. DEBRA ANNE VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA ,RDN,CDOE,CVDOE
Contact information
Practice address
63 SOCKANOSSET CROSS RD, SUITE A, CRANSTON, RI 02920-5557
(401) 426-0018
(401) 944-1812
Mailing address
100 TWIN BIRCH DR, CRANSTON, RI 02921-7512
(401) 426-0018
(401) 944-1812
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
676708
RI
133V00000X
Registered Dietitian
LDN00057
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
256106
RI BLUE CROSS
RI
01
—
403156
BLUE CHIP
RI
Enumeration date
11/20/2006
Last updated
10/15/2016
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