Individual
RAQUEL F. VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1675 S MAIN ST, LONDON, KY 40741-2050
(606) 878-1961
(606) 877-1958
Mailing address
1675 S MAIN ST, LONDON, KY 40741-2050
(606) 878-1961
(606) 877-1958
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35016
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64092877
—
KY
Enumeration date
08/09/2006
Last updated
07/08/2007
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