Individual
GIOCONDA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
355 PRAIRIE AVE, PROVIDENCE, RI 02905-1928
(401) 415-8839
Mailing address
170 DODGE ST, APT S-07, PROVIDENCE, RI 02907-2246
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
51033
RI
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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