Individual
MR. VINCENT FARACI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
337 COLLEGE HL, JOHNSON, VT 05656-9741
(802) 635-1487
(802) 635-1497
Mailing address
221 MEAD RD, HYDE PARK, VT 05655-9462
(802) 888-1511
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104-0000073
VT
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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