Individual
ALFONSO M VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
81719 DR CARREON BLVD STE B, INDIO, CA 92201-5518
(760) 837-8722
(760) 834-7989
Mailing address
81719 DR CARREON BLVD STE B, INDIO, CA 92201-5518
(760) 837-8722
(760) 834-7989
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A197337
CA
Other
Enumeration date
04/07/2021
Last updated
08/27/2024
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