Individual
CHRIS VINCENEUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
9466 BLACK MOUNTAIN RD, SUITE 100, SAN DIEGO, CA 92126-4550
(858) 689-2027
(858) 689-2027
Mailing address
9466 BLACK MOUNTAIN RD, SUITE 100, SAN DIEGO, CA 92126-4550
(858) 689-2027
(858) 689-2027
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6687
CA
Other
Enumeration date
03/08/2012
Last updated
07/25/2013
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