Doctor Name: | DENISSE VAZQUEZ |
NPI Number: | 1003232778 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDCS |
License Number: | 156474 |
Business Practice Address: | 6709 S Minnesota Ave Ste 203 Sioux Falls, SD - 571082593 |
Business Phone Number: | 6052742525 |
Business Fax Number: | 6052740620 |
Mailing Address: | 6709 S Minnesota Ave Ste 203, SIOUX FALLS |
State: | SD |
Postal Code: | 571082593 |
Phone Number: | 6052742525 |
Fax Number: | 6052740620 |
NPI Enumeration Date: | 03/05/2014 |
NPI Last Update Date: | 03/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246XS1301X |
License Number: | 156474 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Cardiovascular |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |