Individual
EMMA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 N 3RD ST, LEESVILLE, LA 71446-4014
(337) 239-3334
Mailing address
112 N 3RD ST, LEESVILLE, LA 71446-4014
(133) 723-9333
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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