Individual
DIANNA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 DUNTY RD, LAKE PLACID, FL 33852-7221
(863) 243-0190
Mailing address
140 DUNTY RD, LAKE PLACID, FL 33852-7221
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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