Individual
MARIA LOURDES VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12595 SW 137TH AVE STE 103, MIAMI, FL 33186-4218
(305) 662-6652
Mailing address
662 W 30TH ST, HIALEAH, FL 33012-5331
(786) 357-0540
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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