Individual
JACLYN VINECOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
(360) 415-3901
Mailing address
5455 ALMIRA DR NE, BREMERTON, WA 98311-8330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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