Individual
SANDRA L VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
1 MEDICAL CENTER BLVD, CHESTER, PA 19013-3902
(856) 981-1761
Mailing address
831 N TAYLOR ST, PHILADELPHIA, PA 19130-1927
(856) 981-1761
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003987
PA
Other
Enumeration date
03/13/2013
Last updated
01/05/2015
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