Individual
MS. CYNTHIA VICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18858 YORK RD, PARKTON, MD 21120-9223
(410) 357-0633
Mailing address
18858 YORK RD, PARKTON, MD 21120-9223
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M04125
MD
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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