Individual
DR. DEBORA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8988 LORTON STATION BLVD, LORTON, VA 22079-4756
(703) 780-2800
Mailing address
220 LARKSPUR LN, STAFFORD, VA 22554-7781
(787) 466-4783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101273476
VA
Other
Enumeration date
08/10/2011
Last updated
11/02/2021
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