Individual
CRISTINA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E MAIN ST, MILFORD, MA 01757-2806
(508) 478-0207
Mailing address
127 FOUNTAIN ST, SPRINGFIELD, MA 01108-3028
(413) 777-9600
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XXP964298404
BLUE CROSS BLUE SHIELD
—
Enumeration date
02/11/2025
Last updated
02/11/2025
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