Individual
YANITZA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
2900 S COMMERCE PKWY, WESTON, FL 33331-3622
(954) 217-6326
Mailing address
2900 S COMMERCE PKWY, WESTON, FL 33331-3622
(954) 217-6326
Taxonomy
Speciality
Code
Description
License number
State
283XC2000X
Children's Rehabilitation Hospital
Primary
SA13823
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010060900
—
FL
Enumeration date
08/24/2015
Last updated
08/24/2015
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