Individual
MRS. LIZA MARIELIZ VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
AVENIDA ASHFORD ESQUINA BALDORIOTY, GUAYAMA, PR 00784
(787) 686-0170
Mailing address
PO BOX 1840, JUANA DIAZ, PR 00795-5503
(787) 677-4798
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1562529
PR
Other
Enumeration date
11/17/2007
Last updated
11/17/2007
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