Individual
JUAN J VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
THERAPIST
Contact information
Practice address
434 SW 12TH AVE, MIAMI, FL 33130-2440
(305) 642-4055
Mailing address
5919 W 16TH LN, HIALEAH, FL 33012-7907
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA37197
FL
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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