Individual
IVONNE DANIELLE VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2609 NESSUH AVE, EDINBURG, TX 78541-4814
(956) 630-1116
(877) 626-0431
Mailing address
3901 PELICAN AVE, MCALLEN, TX 78504-5914
(956) 664-0154
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
332569
TX
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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