Individual
DR. JORGE SALVADOR VAZQUEZ M.D.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12214 OAKWOOD DR, LAKE RIDGE, VA 22192-1910
(703) 490-8216
(703) 497-1547
Mailing address
12214 OAKWOOD DR, LAKE RIDGE, VA 22192-1910
(703) 490-8216
(703) 497-1547
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12669
PR
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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