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Individual

DAVID MARK VASQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HAD

Contact information

Practice address
5138 GEARY BLVD, SAN FRANCISCO, CA 94118-2816
(415) 824-6865
Mailing address
5138 GEARY BLVD, SAN FRANCISCO, CA 94118-2816
(415) 824-6865

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA1042
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HA1042
CA HEARING AID DISP LICENSE
Enumeration date
10/06/2014
Last updated
10/06/2014
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