Individual
MARIELA CRUZ VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 GLYNBROOK ST N STE 200, KEIZER, OR 97303-5796
(971) 227-9808
Mailing address
132 GLYNBROOK ST N STE 200, KEIZER, OR 97303-5796
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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