Individual
DENISE VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CLC
Contact information
Practice address
124 S KEENELAND DR, RICHMOND, KY 40475-3279
(812) 240-8797
Mailing address
404 ATWOOD DR, LEXINGTON, KY 40515-4717
(859) 351-1284
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1157757
KY
163WL0100X
Lactation Consultant (Registered Nurse)
323118
KY
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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