Individual
MRS. JESSICA FAITH VINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 FAWCETT AVE STE 101, TACOMA, WA 98402-5502
(253) 207-4301
(253) 207-4318
Mailing address
721 FAWCETT AVE STE 101, TACOMA, WA 98402-5502
(253) 207-4301
(253) 207-4318
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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