Individual
LISETTE VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, RNFA
Contact information
Practice address
8837 ROUNDHOUSE CIR, EASTON, MD 21601-7903
(443) 481-3201
(443) 481-6515
Mailing address
PO BOX 1313, EASTON, MD 21601-8926
(443) 481-3201
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R172165
MD
Other
Enumeration date
08/02/2011
Last updated
10/18/2016
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