Individual
EDGAR VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3431 PERSHING DR, SUITE D5, EL PASO, TX 79903-2754
(915) 274-7096
Mailing address
3431 PERSHING DR, SUITE D5, EL PASO, TX 79903-2754
(915) 274-7096
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT110408
TX
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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