Individual
GABRIELLA YVETTE VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12318 BOYDTON PLANK RD, DINWIDDIE, VA 23841-2454
(757) 812-1085
Mailing address
122 BRIGHTWOOD TER, YORKTOWN, VA 23690-3517
(757) 812-1085
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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