Individual
JORGE ALBERTO VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6823 VARIEL AVE APT 1, CANOGA PARK, CA 91303-2257
(323) 359-8468
Mailing address
6823 VARIEL AVE APT 1, CANOGA PARK, CA 91303-2257
(323) 359-8468
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
63402
CA
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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