Individual
ANGELA R VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 FREDERICK ST STE 103, SANTA CRUZ, CA 95062-2239
(831) 996-1222
Mailing address
700 FREDERICK ST STE 103, SANTA CRUZ, CA 95062-2239
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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