Individual
KRISTEN MICHELLE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17-10 FAIR LAWN AVE, FAIR LAWN, NJ 07410-2324
(201) 794-7977
Mailing address
502 W MARKET ST, STE A, GEORGETOWN, DE 19947-2322
(302) 856-2020
(302) 856-4970
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
27OA00676300
NJ
Other
Enumeration date
04/24/2018
Last updated
03/06/2019
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