Individual
GABRIELA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 W GRAHAM AVE, LAKE ELSINORE, CA 92530-3666
(888) 638-8457
Mailing address
506 W GRAHAM AVE, LAKE ELSINORE, CA 92530-3666
(951) 409-5724
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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