Individual
ANNALISE VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 W SWANN AVE STE 100, TAMPA, FL 33606-2478
(813) 251-1618
Mailing address
2416 TERESA CIR APT 16E, TAMPA, FL 33629-6147
(407) 922-2697
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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