Individual
CARLOS A VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
6248 S CLERNATES DR, WEST JORDAN, UT 84081-3831
(480) 282-3358
(801) 955-6173
Mailing address
6248 S CLERNATES DR, WEST JORDAN, UT 84081-3831
(480) 282-3358
(801) 955-6173
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6261157-8900
UT
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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