Individual
EDWARD A VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
4000 E CHARLESTON BLVD, SUITE B-230, LAS VEGAS, NV 89104-6659
(702) 968-4037
Mailing address
4281 E ROCHELLE AVE, LAS VEGAS, NV 89121-6427
(702) 436-2877
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4861-S
NV
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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