Individual
KELLY VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
201 LAUREL OAK RD, ST. B, VOORHEES, NJ 08043-4424
(856) 566-5478
(856) 566-9563
Mailing address
201 LAUREL OAK RD, ST. B, VOORHEES, NJ 08043-4424
(856) 566-5478
(856) 566-9563
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ14900000
NJ
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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