Individual
VICTORIA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14602 HARTSVILLE ST, LA PUENTE, CA 91744-3630
(626) 393-8633
Mailing address
14602 HARTSVILLE ST, LA PUENTE, CA 91744-3630
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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