Individual
VICTORIA MAY VINTEVOGHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHSA, AT, ATC
Contact information
Practice address
6590 MIDDLE LAKE RD, CLARKSTON, MI 48346-2423
(248) 623-5608
Mailing address
3214 DONNA DR, STERLING HEIGHTS, MI 48310-2904
(586) 321-8127
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000877
MI
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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