MR. JOHN VASQUEZ, IDC

Military Health Care Provider - Independent Duty Corpsman

Active Individual
NPI: 1245434513

Practice Address

3001 6TH ST
Great Lakes, IL 60088

Phone: (910) 450-6397

Specialties

Specialty Code Primary License
Military Health Care Provider - Independent Duty Corpsman 1710I1002X Yes -

Frequently Asked Questions

NPI 1245434513 is the National Provider Identifier for MR. JOHN VASQUEZ, IDC, a Military Health Care Provider - Independent Duty Corpsman provider located in Great Lakes, IL. This NPI was enumerated on June 12, 2007.
MR. JOHN VASQUEZ, IDC practices at 3001 6TH ST, Great Lakes, IL 60088.

Quick Facts

NPI
1245434513
Type
Individual
Enumerated
Jun 12, 2007
Last Updated
Sep 19, 2012

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