Individual
JOHN VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1710 MEMORIAL DR, A, HOLLISTER, CA 95023-5700
(831) 637-0108
(831) 637-8121
Mailing address
1710 MEMORIAL DR, A, HOLLISTER, CA 95023-5700
(831) 637-0108
(831) 637-8121
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
6069
CA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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