Individual
JOHANMARIE VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 S SEMORAN BLVD STE A, ORLANDO, FL 32807-1424
(407) 704-7811
Mailing address
3160 S SEMORAN BLVD APT 901, ORLANDO, FL 32822-2762
(787) 361-0905
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
09/14/2019
Last updated
09/14/2019
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