Individual
GENARO VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
902 E CALTON RD, LAREDO, TX 78041-6359
(956) 898-5770
Mailing address
111 ILLINOIS ST, LAREDO, TX 78041-3217
(956) 898-5770
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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