Individual
MR. GABRIEL VAZQUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
302 CAPPS DR, WYLIE, TX 75098-7521
(936) 526-1567
Mailing address
302 CAPPS DR, WYLIE, TX 75098-7521
(936) 526-1567
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
336700
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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