KENNETH SHAQUILLE VAZQUEZ

BAYAMON, PR
NPI1235832163
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2023-03-22
Last Update Date2023-03-22
Business Address
KENNETH SHAQUILLE VAZQUEZ
100 AVE LAUREL
BAYAMON, PR 00956-4816
Phone number: 787-579-5581
Mailing Address
KENNETH SHAQUILLE VAZQUEZ
CARR #2 KM 8.2 JUAN SANCHEZ
BAYAMON, PR 00960
Phone number: 787-579-5581