Individual
VICTOR LUIS VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1745 RHYNES TRL, ROCK HILL, SC 29732-5566
(201) 774-1766
Mailing address
1745 RHYNES TRL, ROCK HILL, SC 29732-5566
(201) 774-1766
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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