Individual
JANE MARIE VINCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN-76252
Contact information
Practice address
300 E 15TH ST, MERCED, CA 95340-6217
(209) 722-7579
Mailing address
2000 TEAK AVE, MERCED, CA 95340-1739
(209) 722-7579
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
76252
CA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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