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Individual

DIANA GABRIELA PEREZ VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4964 EAGLE ROCK DR, WIMAUMA, FL 33598-4194
(813) 220-0265
Mailing address
4964 EAGLE ROCK DR, WIMAUMA, FL 33598-4194
(813) 220-0265

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI8098
FL

Other

Enumeration date
07/24/2025
Last updated
07/24/2025
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