Individual
KENNETH ANDREW VASQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
400 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 679-5222
Mailing address
874 PURCHASE ST, NEW BEDFORD, MA 02740-6232
(508) 992-6553
(508) 997-2498
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2313030
MA
Other
Enumeration date
08/09/2018
Last updated
04/20/2022
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