Individual
KATHERINE M VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1117 20TH ST, COLUMBUS, GA 31901-1848
(706) 324-6365
Mailing address
2300 MANCHESTER EXPY STE A201, COLUMBUS, GA 31904-6856
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN-185252
GA
Other
Enumeration date
07/09/2018
Last updated
01/21/2025
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