Individual
MARIAELENA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8504 E 91ST PL, TULSA, OK 74133-5556
(918) 841-4991
Mailing address
8504 E 91ST PL, TULSA, OK 74133-5556
(918) 841-4991
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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