Most Relevant Information
Provider Data
| NPI Number: | 1003585241 |
| Provider Name: | SUSANA VAZQUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/10/2021 |
| Last Updated: | 09/10/2021 |
Provider Practice Location
8415 SW 107TH AVE APT 235W
MIAMI
FL
331734305
Practice Location Phone/Fax
| Phone: | 7862780720 |
| Fax: |
Provider Mailing Location
8415 SW 107TH AVE APT 235W
MIAMI
FL
331734305
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |