Individual
GABRIELA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 WHITEROCK AVE, WAUKESHA, WI 53186-4100
(262) 225-0461
Mailing address
1120 WHITEROCK AVE, WAUKESHA, WI 53186-4100
(262) 225-0461
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
330388
WI
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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