Individual
MARIO JONATHAN VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
426 N IMPERIAL AVE, EL CENTRO, CA 92243-2329
(760) 679-0210
Mailing address
426 N IMPERIAL AVE, EL CENTRO, CA 92243-2329
(760) 679-0210
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52370
CA
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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