Individual
JOHANNA VAZQUEZ-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
219 WOOD LN, STAR, NC 27356-7982
(336) 460-8061
Mailing address
PO BOX 658, BISCOE, NC 27209-0658
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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