Provider Demographics
NPI:1568205375
Name:VINCENT, JOY (BS MED SCI, CHWC, NB)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:VINCENT
Suffix:
Gender:F
Credentials:BS MED SCI, CHWC, NB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20500 BELSHAW AVE
Mailing Address - Street 2:DPT# EXCA1377
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90746-3506
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20500 BELSHAW AVE
Practice Address - Street 2:DPT# EXCA1377
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746-3506
Practice Address - Country:US
Practice Address - Phone:336-580-2898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach