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Individual

BETSY VASQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
46090 LAKE CENTER PLZ STE 104, STERLING, VA 20165-5877
(703) 421-1700
(703) 421-5550
Mailing address
46090 LAKE CENTER PLZ STE 104, STERLING, VA 20165-5877
(703) 421-1700
(703) 421-5550

Taxonomy

Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
0101052517
VA

Other

Enumeration date
11/02/2006
Last updated
07/08/2007
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