Individual
CHANDRA VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3491 KURTZ ST # 150, SAN DIEGO, CA 92110-4430
(619) 320-2404
Mailing address
3491 KURTZ ST # 150, SAN DIEGO, CA 92110-4430
(619) 320-2404
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
582219
CA
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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