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NPI Code Detail

MEDICARE: MILDRED M VAZQUEZ-MALAVE

MEDICARE: MILDRED M VAZQUEZ-MALAVE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker22143PA

General Provider Information

NPI Number : 1760326516
Entity Type Code : Individual
Provider Name (Legal Business Name) : MILDRED M VAZQUEZ-MALAVE
Provider Business Mailing Address
First Line : 21 DEEP HOLLOW LN
Second Line :
City : LANCASTER
State : PA
Zip : 17603-7416
Country : US
Telephone Number : 717-299-6371
Fax Number : 717-945-8415
Provider Business Practice Location Address
First Line : 304 N WATER ST
Second Line :
City : LANCASTER
State : PA
Zip : 17603-3374
Country : US
Telephone Number : 717-299-6372
Fax Number : 717-945-1584
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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Directions to “ MILDRED M VAZQUEZ-MALAVE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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