Individual
DIANA LAURA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29155 BRITTBUSH, LAKE ELSINORE, CA 92530-9129
(562) 302-5857
Mailing address
4065 COUNTY CIRCLE DR, RIVERSIDE, CA 92503-3410
(951) 578-0925
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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