Individual
MS. GERIANE VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1642 W AVENUE J, LANCASTER, CA 93534-2814
(661) 942-8463
Mailing address
1642 W AVENUE J, LANCASTER, CA 93534-2814
(661) 942-8463
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15287
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12076221
ASHA
—
01
—
15287
STATE LICENSE
CA
Enumeration date
01/12/2015
Last updated
01/12/2015
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