Vasquez, Therese Janine

Vasquez, Therese Janine is an sole proprietor health care provider with primary practice located at 4650 W. Sweetwater Avenue , Glendale AZ 85304-1505. She recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as her primary health care specialty. Vasquez, Therese Janine can be contacted via phone (602) 347-2600.

Contact Information

Primary practice address
4650 W. Sweetwater Avenue Glendale AZ 85304-1505
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X SLP 1281 Arizona

Profile Details

NPI number 1255543054
LBN Legal business name Vasquez, Therese Janine
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255543054 NPPES
Arizona MEDICAID 455320

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