Individual
NICHOLAS DAVID VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6840 78TH AVE N, BROOKLYN PARK, MN 55445-2760
(612) 232-8799
(763) 416-9120
Mailing address
7800 45 1/2 AVE N, NEW HOPE, MN 55428-4906
(612) 889-0099
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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