Individual
MRS. YELISKA ENID VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
EL BRONCE 69, CARR 14 KM 4.9 INT, PONCE, PR 00731
(682) 559-7763
Mailing address
HC 6 BOX 4800, COTO LAUREL, PR 00780-9546
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16250
PR
Other
Enumeration date
08/30/2023
Last updated
08/31/2023
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