Individual
MRS. MAYDA Y VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
1481 NW 36TH ST, MIAMI, FL 33142-5557
(305) 635-7444
(305) 636-1711
Mailing address
7689 NW 178TH ST, HIALEAH, FL 33015-6162
(305) 512-3286
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251B00000X
FL
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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