Individual
ALBERTO VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1402 W PICO AVE STE 23, EL CENTRO, CA 92243-1377
(760) 556-8185
Mailing address
1402 W PICO AVE STE 23, EL CENTRO, CA 92243-1377
(760) 556-8185
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
CA
Other
Enumeration date
08/03/2021
Last updated
05/18/2022
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