Most Relevant Information
Provider Data
NPI Number: | 1003484544 |
Provider Name: | ERICA VASQUEZ |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: |
Most Important Dates
Enumeration Date: | 06/11/2021 |
Last Updated: | 06/11/2021 |
Provider Practice Location
1163 7 LAKES DR
WEST END
NC
27376
Practice Location Phone/Fax
Phone: | 9106735437 |
Fax: | 9106735438 |
Provider Mailing Location
PO BOX 354
WEST END
NC
273760354
Provider Mailing Phone/Fax
Phone: | 9106735437 |
Fax: | 9106735438 |