Individual
CATHERINE L VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1259 BROOKSIDE AVE, REDLANDS, CA 92373-4402
(909) 792-5888
Mailing address
PO BOX 2271, REDLANDS, CA 92373-0761
(909) 792-5888
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
23-762084
CA
171WH0202X
Home Modifications Contractor
23-762084
CA
171WV0202X
Vehicle Modifications Contractor
23-762084
CA
172A00000X
Driver
23-762084
CA
251E00000X
Home Health Agency
23-762084
CA
253Z00000X
In Home Supportive Care Agency
23-762084
CA
332BC3200X
Customized Equipment (DME)
Primary
23-762084
CA
347C00000X
Private Vehicle
23-762084
CA
372500000X
Chore Provider
23-762084
CA
372600000X
Adult Companion
23-762084
CA
374U00000X
Home Health Aide
23-762084
CA
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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