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Individual
MARTIN VAZQUEZ
Active
Individual
MARTIN VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1930A
MEDI-CAL
CA
01
—
7929A
MEDI-CAL
CA
Enumeration date
09/27/2016
Last updated
05/08/2025
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