Individual
HUBALDO VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3206 HILLSDALE LN, KISSIMMEE, FL 34741-7562
(407) 530-5151
Mailing address
3206 HILLSDALE LN, KISSIMMEE, FL 34741-7562
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
10/17/2020
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