Individual
ANJELIKA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1000 E AZTEC AVE, GALLUP, NM 87301-5509
(505) 722-4101
Mailing address
PO BOX 811, JAMESTOWN, NM 87347-0811
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-5707
NM
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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