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Individual
MRS. JEANETTE VASQUEZ VELASQUEZ
Active
Individual
MRS. JEANETTE VASQUEZ VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
213407-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02197900
—
NY
01
—
213407-1
NYS LICENSE
NY
Enumeration date
07/14/2007
Last updated
09/13/2021
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