Individual
JOSHUA MACK VINOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LLP
Contact information
Practice address
8245 HOLLY RD, GRAND BLANC, MI 48439-2443
(800) 693-1916
Mailing address
1918 GEORGETOWN PKWY, FENTON, MI 48430-3223
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361004461
MI
Other
Enumeration date
06/04/2013
Last updated
09/05/2024
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