Individual
DE'ANNA JONNAI VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 BIG TWIG LN, DURHAM, NC 27703-3391
(919) 638-9663
Mailing address
PO BOX 90062, RALEIGH, NC 27675-0062
(919) 638-9663
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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