Individual
MS. DEBRA VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
600 CYPRESS ST, SULPHUR, LA 70663-5052
(337) 527-6371
(337) 528-9616
Mailing address
600 CYPRESS ST, SULPHUR, LA 70663-5052
(337) 527-6371
(337) 528-9616
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
AP03175
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1532690
—
LA
Enumeration date
04/17/2006
Last updated
02/09/2011
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