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Individual
NIDIA EDITH VAZQUEZ
Active
Individual
NIDIA EDITH VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95122493
CA
163WC0400X
Case Management Registered Nurse
95122493
CA
163WC1500X
Community Health Registered Nurse
95122493
CA
163WG0000X
General Practice Registered Nurse
95122493
CA
163WH0200X
Home Health Registered Nurse
95122493
CA
163WP2201X
Ambulatory Care Registered Nurse
95122493
CA
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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