Victoria May Vintevoghel MHSA, AT, ATC

NPI 1093067142 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1093067142
Gender Female
Enumeration Date 10/12/2012
Last Updated 10/12/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
6590 MIDDLE LAKE RD
CLARKSTON MI, 48346-2423, US
Phone (248) 623-5608
Fax
Business Location
3214 DONNA DR
STERLING HEIGHTS MI, 48310-2904, US
Phone (586) 321-8127
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Michigan
License Number 2601000877
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According to our database, Victoria May Vintevoghel MHSA, AT, ATC NPI is 1093067142, taxonomy code is 2255A2300X and license number is 2601000877, license state is located at Michigan. Victoria May Vintevoghel MHSA, AT, ATC physically located at 6590 Middle Lake Rd, Clarkston MI, 48346-2423. NPI Number Victoria May Vintevoghel MHSA, AT, ATC has the Individual type.

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1093067142 NPI number is provided on an as is basis without warranty of any kind. 1093067142 is maintained by the National Plan & Provider Enumeration System. The contents of Victoria May Vintevoghel MHSA, AT, ATC are for informational purposes only.