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Individual
DR. JOSE FIDIAS VASQUEZ
Active
Individual
DR. JOSE FIDIAS VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60090934
WA
174400000X
Specialist
HP60090870
WA
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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