Individual
JELIANE AMELIA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19333 HIGHWAY 59 N STE 145, HUMBLE, TX 77338-4272
(281) 947-6934
Mailing address
4202 PALOS VERDES DR, PASADENA, TX 77504-2418
(832) 603-9399
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1099283
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1099283
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2022
Last updated
08/14/2024
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