Individual
CAROLYN LOUISE VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31955 HIGHWAY 20, OAK HARBOR, WA 98277-5211
(360) 279-9000
Mailing address
658 SW MCCROHAN ST, OAK HARBOR, WA 98277-4511
(360) 929-6622
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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