Individual
RAQUEL VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
589 S STATE ST, PROVO, UT 84606-5056
(801) 429-2000
(801) 429-2001
Mailing address
589 S STATE ST, PROVO, UT 84606-5056
(801) 429-2000
(801) 429-2001
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
10246436-4405
UT
Other
Enumeration date
07/05/2022
Last updated
05/20/2024
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