Provider Demographics
NPI:1144010463
Name:VAZQUEZ, CHERYL
Entity type:Individual
Prefix:MISS
First Name:CHERYL
Middle Name:
Last Name:VAZQUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4758 N RUSTLER PL
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:AZ
Mailing Address - Zip Code:85607-6225
Mailing Address - Country:US
Mailing Address - Phone:520-368-6408
Mailing Address - Fax:
Practice Address - Street 1:4758 N RUSTLER PL
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:AZ
Practice Address - Zip Code:85607-6225
Practice Address - Country:US
Practice Address - Phone:520-368-6408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter