Individual
DANIELLE ERIN VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 575-2672
Mailing address
30 HADLEY ST, LOWELL, MA 01851-1510
(978) 866-7342
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN96416
MA
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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