Individual
CECILIA G VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2762
Mailing address
137 GREYCOAT CT, LEXINGTON, SC 29073-7106
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN242251
SC
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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