Individual provider · NPI-1

Vincent Raymond Dancel, LMT

Contractor · Glendale, AZ

NPI number1215157482
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1215157482
Entity type
Individual (NPI-1)
Name
Vincent Raymond Dancel
Credential
LMT
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 27, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171W00000X ContractorMT04953PAZYes

Practice location

6666 W Peoria Ave
Suite 125
Glendale, AZ 85302-7014

Phone 602-791-9995

Mailing address

6666 W Peoria Ave
Suite 125
Glendale, AZ 85302-7014

Phone 602-791-9995

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