Individual
SUZANNE VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 E MARKET ST, LIMA, OH 45801-4535
(419) 222-4474
Mailing address
835 SKINNER ST LOT 54, DELPHOS, OH 45833-2276
(419) 203-6303
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CDCA163712
OH
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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