Individual provider · Type 1 NPI

Jacqueline Vasquez, PA-C

Medical Physician Assistant · Allen Park, MI

NPI number 1982293361 Active

Practice location

7445 Allen Rd Ste 280
Allen Park, MI 48101-1959

Mailing address

7066 Whittaker St
Detroit, MI 48209-1561

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1982293361

Jacqueline Vasquez, PA-C's National Provider Identifier is 1982293361, issued on Jan 11, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Allen Park, MI. The record was last updated on Jan 11, 2021.