NPI | 1003322462 |
---|---|
Other Name | SERENITY MARIE VASQUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2017-12-21 |
Last Update Date | 2025-07-04 |