Individual
MICHAEL VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
733 S WALNUT ST, WEST CHESTER, PA 19382-3658
(570) 994-8868
Mailing address
733 S WALNUT ST, WEST CHESTER, PA 19382-3658
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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