Individual
LUIS FERNANDO VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 KESSEL CT STE 105, MADISON, WI 53711-6227
(608) 280-2700
Mailing address
25 KESSEL CT STE 105, MADISON, WI 53711-6227
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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