Individual
VICTOR VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
8766 W LANE AVE, GLENDALE, AZ 85305-3972
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
190888
AZ
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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