Individual
CANDIDA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
20326 MAIN STREET, STRATFORD, CA 93266
(559) 947-3500
(559) 947-3503
Mailing address
PO BOX 580, LEMOORE, CA 93245-0580
(559) 386-4500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
662346
CA
363L00000X
Nurse Practitioner
Primary
95008929
CA
Other
Enumeration date
10/14/2015
Last updated
04/02/2024
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