Individual
MS. EILEEN VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
284 CENTRAL WAY, KIRKLAND, WA 98033-6104
(602) 568-4282
Mailing address
11121 NE 97TH ST, KIRKLAND, WA 98033-5100
(602) 568-4282
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60541886
WA
225700000X
Massage Therapist
MT07896
AZ
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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