Individual
MARGARET VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11611 HIGHWAY 51 S, ATOKA, TN 38004-7130
(901) 842-1760
Mailing address
1507 MEADE LAKE RD, ATOKA, TN 38004-7637
(901) 825-0489
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
34395
TN
Other
Enumeration date
09/25/2023
Last updated
02/18/2025
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