Individual
JEANINE A VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
545 ESTUDILLO AVE, SAN LEANDRO, CA 94577-4611
(209) 485-3350
Mailing address
545 ESTUDILLO AVE, SAN LEANDRO, CA 94577-4611
(209) 485-3350
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN-280432
CA
Other
Enumeration date
06/11/2021
Last updated
06/23/2021
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