Individual
MRS. KIMBERLY VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5408 SAN PATRICIO DR, GRAND PRAIRIE, TX 75052-2675
(214) 507-9398
Mailing address
5408 SAN PATRICIO DR, GRAND PRAIRIE, TX 75052-2675
(214) 507-9398
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT047676
TX
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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