Individual
KIMBERLY SUE VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6331 CARMEL RD STE 102, CHARLOTTE, NC 28226-8286
(704) 316-2354
Mailing address
1315 EAST BLVD STE 280, CHARLOTTE, NC 28203-5793
(704) 384-1866
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
5024447
NC
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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