Individual
SOREYLIE VAZQUEZ-MARRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1609 N DIXIE AVE STE 114, ELIZABETHTOWN, KY 42701-7494
(270) 215-5959
Mailing address
1321 MURFREESBORO PIKE STE 410, NASHVILLE, TN 37217-2665
(615) 696-6761
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-270985
KY
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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