Individual
LISSETTE DENISE VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3654
(732) 442-3700
Mailing address
80 RACE TRACK RD, EAST BRUNSWICK, NJ 08816-3719
(917) 524-4459
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
PENDING
NJ
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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