Individual
MRS. AWILDA VASQUEZ YAMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
561 E 28TH ST, PATERSON, NJ 07504-1862
(201) 640-5428
Mailing address
60 AUGUSTA ST, IRVINGTON, NJ 07111-3411
(201) 640-5428
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00156600
NJ
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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