MARIO VAZQUEZ

YUMA, AZ
NPI1023667862
Former NameWALDO MARIO VAZQUEZ
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AZ  234060)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: AZ  234060)
363LG0600X Nurse Practitioner, Gerontology
(Licence: AZ  234060)
Enumeration Date2019-09-04
Last Update Date2020-05-11
Business Address
MARIO VAZQUEZ NP
2451 S AVENUE A STE A104
YUMA, AZ 85364-7189
Phone number: 928-336-2165
Mailing Address
MARIO VAZQUEZ NP
2400 S AVENUE A
YUMA, AZ 85364
Phone number: 928-344-2000