Individual
XENA ALEXANDRA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
941 MACARTHUR ST, BOHEMIA, NY 11716-2118
(516) 398-4126
Mailing address
941 MACARTHUR ST, BOHEMIA, NY 11716-2118
(516) 398-4126
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
756012
NY
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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