Individual
VIRGINIA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
560 SEMINOLE RD, NORTON SHORES, MI 49444-3720
(231) 683-2624
(231) 739-4452
Mailing address
560 SEMINOLE RD, NORTON SHORES, MI 49444-3720
(231) 683-2624
(231) 739-4452
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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