Individual
ELVIRA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 S ANITA DR STE 102-104, ORANGE, CA 92868-3355
(714) 410-3500
Mailing address
14631 S LIME AVE, COMPTON, CA 90221-2522
(562) 659-6319
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
12/11/2023
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