Individual
GRACE MARIE VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
13305 PANAMA CITY BEACH PKWY # 98, PANAMA CITY BEACH, FL 32407-2844
(939) 287-2510
Mailing address
650 CENTRAL AVE STE 3, SARASOTA, FL 34236-4090
(941) 444-6165
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH12323
FL
Other
Enumeration date
10/06/2017
Last updated
10/27/2020
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