Individual
ALFREDA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST P
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120
(619) 528-3912
Mailing address
4647 ZION AVE, SAN DIEGO, CA 92120
(619) 528-3912
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
29079
CA
225100000X
Physical Therapist
Primary
29079
CA
Other
Enumeration date
10/17/2008
Last updated
11/07/2024
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