Individual
KAREN VINCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1839 MANTON ST, PHILADELPHIA, PA 19146-2922
(800) 203-8657
Mailing address
1839 MANTON ST, PHILADELPHIA, PA 19146-2922
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004983
PA
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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