Vazquez, Mario

Vazquez, Mario is an individual health care provider with primary practice located at 7625 S 3200 W Ste 2 , West Jordan UT 84084-2887. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Vazquez, Mario can be contacted via phone (801) 414-2261.

Contact Information

Primary practice address
7625 S 3200 W Ste 2 West Jordan UT 84084-2887
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1922629450
LBN Legal business name Vazquez, Mario
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2020
Last updated May 6th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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