Individual
PHILLIP SEBASTIAN VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HAD
Contact information
Practice address
301 E ALESSANDRO BLVD STE 3C, RIVERSIDE, CA 92508-2464
(951) 329-9590
Mailing address
4183 DEVONPORT CT, HEMET, CA 92545-5251
(951) 805-7597
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
8730
CA
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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