Individual
MISS LAUREN NICOLE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3880 LEMON ST STE 500, RIVERSIDE, CA 92501-3374
(951) 530-1299
Mailing address
15069 BAY HILL DR, MORENO VALLEY, CA 92555-6326
(951) 750-9367
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
94028998
CA
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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