Individual
JENNIFER VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 WILLOW ST, NEW HAVEN, CT 06511-2668
(860) 578-1300
Mailing address
7 CARRIAGE DR, WEST HAVEN, CT 06516-5514
(917) 822-7109
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/15/2018
Last updated
07/15/2018
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