Individual
SANDY ANNETTE VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN.CEO
Contact information
Practice address
505 WASHINGTON ST STE 410, PORTSMOUTH, VA 23704-3530
(757) 337-0766
(757) 966-2197
Mailing address
505 WASHINGTON ST STE 410, PORTSMOUTH, VA 23704-3530
(757) 337-0766
(757) 966-2197
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO16855
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157253466
—
VA
05
—
0160576655
—
VA
Enumeration date
08/03/2015
Last updated
08/03/2015
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