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Individual

MARIA VASQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2280 W OLD US HIGHWAY 441, MOUNT DORA, FL 32757-3508
(352) 250-2748
(352) 600-3091
Mailing address
17 ELKWOOD CT, WINTER SPRINGS, FL 32708-3443
(407) 463-6853
(352) 600-3091

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1142231
FL

Other

Enumeration date
03/10/2017
Last updated
03/10/2017
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