Individual
SHANA MARIE VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDH, OMT
Contact information
Practice address
856 SWEETBAY PKWY, HAMILTON, GA 31811-7624
(706) 801-6227
Mailing address
856 SWEETBAY PKWY, HAMILTON, GA 31811-7624
(706) 801-6227
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
13004579A
IN
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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