Individual
CARLA VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22841 IVAN AVE, EUCLID, OH 44123-3241
(216) 609-2453
Mailing address
22841 IVAN AVE, EUCLID, OH 44123-3241
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
OH
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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