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NPI Code Detail

MEDICARE: YESENIA VAZQUEZ

MEDICARE: YESENIA VAZQUEZ
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
1183700000XPharmacy Technician258969TX

General Provider Information

NPI Number : 1942979083
Entity Type Code : Individual
Provider Name (Legal Business Name) : YESENIA VAZQUEZ
Provider Business Mailing Address
First Line : 201 S 15TH ST
Second Line :
City : CORSICANA
State : TX
Zip : 75110-5138
Country : US
Telephone Number : 903-874-6546
Fax Number :
Provider Business Practice Location Address
First Line : 201 S 15TH ST
Second Line :
City : CORSICANA
State : TX
Zip : 75110-5138
Country : US
Telephone Number : 903-874-6546
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2021
Last Update Date : 09/11/2021

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Directions to “ YESENIA VAZQUEZ ” Practice Location

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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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