Individual
MRS. VICTORIA MARIE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
10666 N TORREY PINES RD, SUITE 213, LA JOLLA, CA 92037-1027
(858) 554-8984
(858) 554-5055
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-8984
(858) 554-5055
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA22001
CA
Other
Enumeration date
10/05/2009
Last updated
10/11/2018
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