Individual
BIANCA M VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
459 E ORANGE AVE, EL CENTRO, CA 92243-2744
(760) 353-6151
Mailing address
PO BOX 296, SEELEY, CA 92273-0296
(760) 587-8092
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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