Individual
MR. VINCENT LEROY DESTIGTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RCP 9059
Contact information
Practice address
723 COURT ST, JACKSON, CA 95642-2129
(209) 223-7306
(209) 223-7309
Mailing address
26510 SUGAR PINE DR, PIONEER, CA 95666-9578
(209) 295-7831
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
RCP9059
CA
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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