Individual
PATRICIA RENE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1715 N DELAWARE AVE, YORK, NE 68467
(402) 362-6655
(402) 362-5488
Mailing address
1730 N DELAWARE AVE, YORK, NE 68467-1203
(402) 362-6655
(402) 362-5488
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
24496
NE
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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