Individual
MARIELENA CECILIA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6600 VAN AALST BLVD BLDG 9250, FORT BENNING, GA 31905-2102
(624) 082-2737
Mailing address
6600 VAN AALST BOULEVARD, MARTIN ARMY COMMUNITY HOSPITAL, FORT BENNING, GA 31905
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
001912
GA
208000000X
Pediatrics Physician
Primary
62790
GA
Other
Enumeration date
04/02/2007
Last updated
12/31/2025
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