Individual
ELIEZER VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4640 BOULDER LN, LORAIN, OH 44053-1663
(787) 598-9179
Mailing address
4640 BOULDER LN, LORAIN, OH 44053-1663
(787) 598-9179
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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