Individual
JAILEEN VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
EE11 CALLE 19, CATANO, PR 00962-6423
(787) 388-0189
Mailing address
2059 MCGRAW AVE APT 4F, BRONX, NY 10462-8005
(646) 745-7212
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
010685
PR
247200000X
Other Technician
Primary
010685
PR
Other
Enumeration date
12/05/2015
Last updated
09/12/2024
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