Fanny Vasquez

NPI #1144085275 in Chantilly, Virginia

Provider Information

NPI Number: 1144085275
Entity Type: Individual
Name: Fanny Vasquez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Feb 19, 2024
Last Updated: Feb 19, 2024

Practice Location

Address: 25212 WHIPPOORWILL TER
City: Chantilly
State: Virginia
ZIP Code: 20152-6695
Phone: (571) 337-8740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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