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Individual

TONJA L VASQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
802 JEFFERSON DAVIS DR, MADISONVILLE, KY 42431-3148
(270) 836-1437
Mailing address
802 JEFFERSON DAVIS DR, MADISONVILLE, KY 42431-3148
(270) 836-1437

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2025402
KY
171400000X
Health & Wellness Coach
172A00000X
Driver
174200000X
Meals Provider
221700000X
Art Therapist
251B00000X
Case Management Agency
251J00000X
Nursing Care Agency
261QA0600X
Adult Day Care Clinic/Center
302R00000X
Health Maintenance Organization
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
372500000X
Chore Provider
372600000X
Adult Companion
374U00000X
Home Health Aide
376J00000X
Homemaker

Other

Enumeration date
10/10/2024
Last updated
10/10/2024
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