Individual
KHALIL VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 834-7525
Mailing address
10 ERWIN PL, WEST ORANGE, NJ 07052-5601
(973) 325-5189
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05643400
NJ
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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