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Individual

MRS. ROSALINE VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICENCES OPTICIAN

Contact information

Practice address
65 CALLE BALDORIOTY, COAMO, PR 00769-2344
(787) 428-5503
Mailing address
65 CALLE BALDORIOTY, COAMO, PR 00769-2344
(787) 428-5503

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
529
PR

Other

Enumeration date
11/05/2011
Last updated
11/05/2011
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