Individual
KARINA QUINTO VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2718 N PROSPECT AVE, CHAMPAIGN, IL 61822-1298
(217) 337-3852
Mailing address
1006 CAMBRIDGE DR, RANTOUL, IL 61866-1202
(217) 390-1479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209025089
IL
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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