Individual
MARIEL VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCHW
Contact information
Practice address
110 S 17TH ST, HARRISBURG, PA 17104-1123
(717) 303-6857
Mailing address
110 S 17TH ST, HARRISBURG, PA 17104-1123
(717) 303-6857
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
15240
PA
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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