NICOLAS MARTIN VASQUEZ

PORT SAINT LUCIE, FL
NPI1144505207
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2011-10-19
Last Update Date2011-10-19
Business Address
NICOLAS MARTIN VASQUEZ MA.
1050 SW MACAO AVE
PORT SAINT LUCIE, FL 34953-7251
Phone number: 772-249-0910
Mailing Address
NICOLAS MARTIN VASQUEZ MA.
1050 SW MACAO AVE
PORT SAINT LUCIE, FL 34953-7251
Phone number: 772-249-0910