Individual
CARLOS ARIEL VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1020 S 8TH ST STE A, DEMING, NM 88030-4007
(575) 936-4350
Mailing address
3712 SANTA ADRIANA AVE, LAS CRUCES, NM 88012-7498
(575) 494-1054
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
67783
NM
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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