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Individual

LISA MARIE VINCENTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
700 LAWRENCE EXPY DEPT 300, SANTA CLARA, CA 95051-5173
(650) 345-3863
Mailing address
3329 WINKLE AVE, SANTA CRUZ, CA 95065-1638
(650) 345-3863

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
452372
CA

Other

Enumeration date
06/18/2018
Last updated
02/11/2022
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