Individual
KRISTAL LADAWN VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
108337
OK
Other
Enumeration date
07/07/2020
Last updated
08/19/2021
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