Organization
EUNICE JUDITH VASQUEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA GONZALEZ (GENERAL MANAGER)
(702) 451-7542
Entity
Organization
Contact information
Practice address
4660 S EASTERN AVE, STE 200, LAS VEGAS, NV 89119-6137
(702) 451-7542
(702) 450-4239
Mailing address
161 ALMOND RIDGE PL, HENDERSON, NV 89015-6255
(702) 451-7542
(702) 450-4539
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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