Individual
ANGEL VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 17TH ST, OAKLAND, CA 94612-1553
(510) 433-1160
Mailing address
7200 BANCROFT AVE, OAKLAND, CA 94605-2403
(510) 433-1160
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
770647
CA
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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