Individual
TATIANA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7831 REFLECTION COVE DR APT 102, FORT MYERS, FL 33907-6584
(239) 564-0114
Mailing address
7831 REFLECTION COVE DR APT 102, FORT MYERS, FL 33907-6584
(239) 564-0114
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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