Individual
MELANNY VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2202 S FOREST AVE, SANTA ANA, CA 92704-4726
(714) 673-3933
Mailing address
2202 S FOREST AVE, SANTA ANA, CA 92704-4726
(714) 673-3931
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
E1588137
CA
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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