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Individual

JOSHUA DAVID VAZQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
995 GATEWAY CENTER WAY STE 300, SAN DIEGO, CA 92102-4550
(619) 398-2156
Mailing address
12846 MAPLEVIEW ST APT 118, LAKESIDE, CA 92040-2029

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
01/21/2020
Last updated
03/27/2025
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