Individual
ELSIE VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 W WALNUT ST STE 3100, ROGERS, AR 72756-3524
(479) 631-9996
Mailing address
602 N WALTON BLVD, BENTONVILLE, AR 72712-4576
(479) 271-6302
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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