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Juan Vasquez
NPI 1154667590 · on the registry since 2012
Practice
- Address
- 2301 S 17th St
Unit 2
Wilmington, NC 28401 - Phone
- (919) 535-8758
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- CO, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina