Individual
LISANDRIE MARIE VAZQUEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RESIDENCIAL VISTA HERMOSA, SAN JUAN, PR 00921-0092
(787) 299-5036
(787) 299-5036
Mailing address
RESIDENCIAL VISTA HERMOSA, SAN JUAN, SAN JUAN, PR 00921
(787) 781-7465
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22928
PR
Other
Enumeration date
04/20/2016
Last updated
02/20/2018
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