Individual
VICKI VAZQUEZ-NATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
154 MCMAKIN ST, SUMMERVILLE, SC 29483-4816
(704) 491-6028
Mailing address
154 MCMAKIN ST, SUMMERVILLE, SC 29483-4816
(704) 491-6028
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
83010
SC
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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