Individual
JESSICA VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10509 HEARTLAND BLVD, CAMBY, IN 46113-9123
(317) 821-6810
Mailing address
5393 ELLSWORTH DR, PLAINFIELD, IN 46168-3601
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
26022857A
IN
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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