Individual
MRS. TYNETTA AGNES VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CMT
Contact information
Practice address
15200 E GIRARD AVE STE 2600, AURORA, CO 80014-5049
(720) 333-5468
Mailing address
15200 E GIRARD AVE STE 2600, AURORA, CO 80014-5049
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5845
CO
Other
Enumeration date
09/09/2010
Last updated
09/27/2010
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