Individual
ARTIST VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16601 N 12TH ST APT 3133, PHOENIX, AZ 85022-7731
(262) 744-3433
Mailing address
16601 N 12TH ST APT 3133, PHOENIX, AZ 85022-7731
(262) 744-3433
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/27/2022
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