Individual
MARISSA RENEE VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
534 WALLACE RD, AMES, IA 50011-4015
(815) 298-1549
Mailing address
2700 LINCOLN WAY APT 540, AMES, IA 50014-8513
(815) 298-1549
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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