Individual
MRS. THERESA ANN VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
18126 MUIR WOODS CT, FOUNTAIN VALLEY, CA 92708-5937
(714) 594-3887
(714) 534-3887
Mailing address
18126 MUIR WOODS CT, FOUNTAIN VALLEY, CA 92708-5937
(714) 594-3887
(714) 534-3887
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7763
CA
Other
Enumeration date
10/15/2008
Last updated
04/03/2015
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