Individual
YANKAR AUGUSTO VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
980 BIRMINGHAM RD STE 811, MILTON, GA 30004-4420
(404) 483-3018
Mailing address
980 BIRMINGHAM RD STE 811, MILTON, GA 30004-4420
(404) 483-3018
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT012587
GA
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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