Individual
ARIANA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7425 W AZURE DR, LAS VEGAS, NV 89130-4418
(702) 515-4009
Mailing address
16261 MEDINAH ST, FONTANA, CA 92336-5674
(909) 202-3660
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2608
NV
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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