Individual
GERARDO VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ND
Contact information
Practice address
5820 S 27TH PL, PHOENIX, AZ 85040-3612
(602) 358-4152
Mailing address
5820 S 27TH PL, PHOENIX, AZ 85040-3612
(602) 358-4152
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
21-1664
AZ
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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