Individual
MR. JOHN A VAZQUEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., CLT, LMT
Contact information
Practice address
677 W MAIN ST, HYANNIS, MA 02601-3493
(413) 210-8529
Mailing address
464 STARBOARD LN, OSTERVILLE, MA 02655-1432
(413) 210-8529
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
225700000X
Massage Therapist
Primary
—
MA
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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