Individual
LAURA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
961 SW 80TH AVE APT B, N LAUDERDALE, FL 33068-3206
(754) 242-5551
Mailing address
961 SW 80TH AVE APT B, NORTH LAUDERDALE, FL 33068-3206
(754) 242-5551
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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