Individual
BIBIANA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 IRVING PL, PASSAIC, NJ 07055-3909
(973) 619-8433
Mailing address
37 IRVING PL, PASSAIC, NJ 07055-3909
(973) 619-8433
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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