Individual
DIANA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 LAUREL SPRINGS DR APT 1211, DURHAM, NC 27713-6735
(314) 680-7305
Mailing address
100 CORNERSTONE DR, CARY, NC 27519-8453
(919) 460-1921
(919) 460-1929
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30002882
NC
Other
Enumeration date
06/19/2024
Last updated
09/03/2024
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