Individual
SAMANTHA MARIE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 S 1000 W, TOOELE, UT 84074-4010
(801) 263-7100
(435) 843-3555
Mailing address
100 S 1000 W, TOOELE, UT 84074-4010
(801) 263-7100
(435) 843-3555
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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