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Individual

VICTORIA VASCO

Active
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Individual

VICTORIA VASCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
95020466
CA
207QA0505X
Adult Medicine Physician
95020466
CA
208D00000X
General Practice Physician
95020466
CA
363LF0000X
Family Nurse Practitioner
Primary
95020466
CA

Other

Enumeration date
09/09/2022
Last updated
07/29/2025
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