Individual
VINCENT ALEXANDER XAVIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
36 BIRCHWOOD DR, ASHFORD, CT 06278-1208
(860) 634-3049
Mailing address
36 BIRCHWOOD DR, ASHFORD, CT 06278-1208
(860) 634-3049
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
003519
CT
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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