IndividualActive
Marissa De Vincent
NPI 1366670267 · Exclusive Provider Organization · Dublin, OH
Provider details
- NPI number
- 1366670267
- Entity type
- Individual
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Managed Care Organizations
Practice location
5500 Glendon Ct
Dublin, OH 43016-3246
Phone: (877) 641-2010
Fax: (330) 757-1412
Approximate (ZIP-level) locationGet directions
Mailing address
5500 Glendon Ct
Dublin, OH 43016-3246
Registry dates
- Enumerated
- 2009-06-30
- Last updated
- 2018-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.