VINCENT KY

FOUNTAIN VALLEY, CA
NPI1780109819
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  33815)
Enumeration Date2017-08-09
Last Update Date2017-08-09
Business Address
VINCENT KY
17900 NEWHOPE ST
FOUNTAIN VALLEY, CA 92708-5422
Phone number: 714-434-0344
Mailing Address
VINCENT KY
1909 CLUB DR
POMONA, CA 91768-1270
Phone number:
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