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Individual

DR. BONNIE ELIZABETH VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
RG2 CALLE ALELI, TOA BAJA, PR 00949-2606
(939) 645-1711
Mailing address
1826 AVE FERNANDEZ JUNCOS, SAN JUAN, PR 00909-3004
(939) 645-1711
(787) 726-8396

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2509
PR
103TC0700X
Clinical Psychologist
Primary
3826
PR

Other

Enumeration date
07/30/2010
Last updated
01/31/2013
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