Most Relevant Information
Provider Data
| NPI Number: | 1003252073 |
| Provider Name: | DORIS YANETH VACA |
| Entity Type: | Individual |
| Taxonomy Code: | 163WM0705X |
| Specialty: | Registered Nurse |
| License Number: | 649357-1 |
Most Important Dates
| Enumeration Date: | 05/17/2013 |
| Last Updated: | 05/17/2013 |
Provider Practice Location
147 E BROADWAY
MONTICELLO
NY
127018802
Practice Location Phone/Fax
| Phone: | 8458662511 |
| Fax: |
Provider Mailing Location
147 E BROADWAY
MONTICELLO
NY
127018802
Provider Mailing Phone/Fax
| Phone: | 8458662511 |
| Fax: |