Individual
LISA VAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1595 BOWIS DR, POINT OF ROCKS, MD 21777-2098
(304) 860-9022
Mailing address
2335 MONUMENT RD, MYERSVILLE, MD 21773-8511
(301) 293-3189
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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