Individual
MS. AMANDA LEE VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
315B VILLAGE ST, MILLIS, MA 02054-1733
(508) 282-9808
Mailing address
PO BOX 505, NORFOLK, MA 02056
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN88164
MA
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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