Individual
KELLI VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 ERBACH ST APT 306, CONWAY, AR 72034-6843
(602) 989-5535
Mailing address
1950 ERBACH ST APT 306, CONWAY, AR 72034-6843
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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