Individual
CANDACE RENAE VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3377 ROUTE 60 E, HUNTINGTON, WV 25705
(304) 399-3310
Mailing address
2150 BLUE LICK RD, WINFIELD, WV 25213-7713
(304) 881-3649
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
104264
WV
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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