Individual
EDNA LIZBETH VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 GEORGE DIETER DR STE 100, EL PASO, TX 79936-7423
(915) 591-7704
Mailing address
1390 GEORGE DIETER DR STE 100, EL PASO, TX 79936-7423
(915) 591-7704
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP130204
TX
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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