Individual
FREDDY VAZQUEZ VAQUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4449 LINDENHURST LN, LAS VEGAS, NV 89120-4208
(702) 559-3147
Mailing address
4449 LINDENHURST LN, LAS VEGAS, NV 89120-4208
(702) 559-3147
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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