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Individual

GRACIELA VASQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
785 ELKRIDGE LANDING RD STE 300, LINTHICUM, MD 21090-2958
(443) 275-9800
Mailing address
2605 BERT YANCEY DR, EL PASO, TX 79936-2705
(915) 867-1967

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1126456
TX
363LF0000X
Family Nurse Practitioner
74758
NM

Other

Enumeration date
06/29/2023
Last updated
11/13/2024
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