Individual
YESENIA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 S 15TH ST, CORSICANA, TX 75110-5138
(903) 874-6546
Mailing address
201 S 15TH ST, CORSICANA, TX 75110-5138
(903) 874-6546
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
258969
TX
Other
Enumeration date
09/11/2021
Last updated
09/11/2021
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