Individual
MANUEL M VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
505 S MAIN ST STE 249, LAS CRUCES, NM 88001-1243
(575) 527-5823
(575) 527-5886
Mailing address
505 S MAIN ST STE 249, LAS CRUCES, NM 88001-1243
(575) 527-5823
(575) 527-5886
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
56540
NM
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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