Individual
GILDA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LNFA
Contact information
Practice address
3132 MOONLIT LAKE CIR, LEAGUE CITY, TX 77573-5972
(832) 315-1339
Mailing address
3132 MOONLIT LAKE CIR, LEAGUE CITY, TX 77573-5972
(832) 315-1339
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
11083
TX
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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