Doctor Name: | MRS. KRISTINE KAY VASQUEZ |
NPI Number: | 1801852306 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | 0411 |
Business Practice Address: | 122 S 3rd St Williams, AZ - 860462404 |
Business Phone Number: | 9286351477 |
Business Fax Number: | 9286350143 |
Mailing Address: | 222 S Golden Meadow Trl, WILLIAMS |
State: | AZ |
Postal Code: | 860469625 |
Phone Number: | 9286352042 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0411 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |