Individual
CLARA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 OVERSTREET CT, WILLIAMSBURG, VA 23185-5237
(757) 637-5121
Mailing address
108 OVERSTREET CT, WILLIAMSBURG, VA 23185
(757) 637-5121
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/31/2022
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