SearchWisconsin164W00000X

Gloria Vasquez

NPI 1821397043 · on the registry since 2011 · sole proprietor

Practice

Address
275 Lakeview Dr
Whitewater, WI 53190
Phone
(262) 384-0400

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-03-28

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 Wisconsin