Individual
MRS. ELLEN GROVER VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIC ACUP
Contact information
Practice address
328 W GODFREY AVE, PHILADELPHIA, PA 19120
(215) 276-1122
(215) 549-4007
Mailing address
328 W GODFREY AVE, PHILADELPHIA, PA 19120
(215) 276-1122
(215) 549-4007
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK000856
PA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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