Individual
MISS REBECCA JANE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6838 MCCUTCHEON RD, CHATTANOOGA, TN 37421-1744
(423) 582-9155
Mailing address
6838 MCCUTCHEON RD, CHATTANOOGA, TN 37421-1744
(423) 582-9155
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
171W00000X
TN
Other
Enumeration date
06/09/2010
Last updated
01/24/2011
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