Individual
MISS ROSA M VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 S 5TH AVE, ORTHOTICS LAB (121-B), HINES, IL 60141-3030
(708) 202-8387
(708) 202-2008
Mailing address
5000 S 5TH AVE, ORTHOTICS LAB (121-B), HINES, IL 60141-3030
(708) 202-8387
(708) 202-2008
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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