Individual
MRS. CAITLIN SUZANNE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
5602 WILLOWDALE RD, SPRINGFIELD, OH 45502-8900
(937) 215-5502
Mailing address
5602 WILLOWDALE RD, SPRINGFIELD, OH 45502-8900
(937) 215-5502
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
138593-M-IV
OH
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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