Individual
JULIEANNE VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LE, RE, CPE
Contact information
Practice address
14 DERRICK DR, ATTLEBORO, MA 02703-7472
(508) 212-1371
Mailing address
1499 NEWPORT AVE, PAWTUCKET, RI 02861-1342
(401) 722-1717
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
ELE00407
RI
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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