Individual
ELVIS ALEJANDRO VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
972 28TH ST SW, GRAND RAPIDS, MI 49509-2851
(616) 452-8559
Mailing address
972 28TH ST SW, GRAND RAPIDS, MI 49509-2851
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
05/17/2024
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