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Individual

ITZEL VASQUEZ RAMIREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8030 SOQUEL AVE STE 104, SANTA CRUZ, CA 95062-2096
(831) 226-1654
Mailing address
PO BOX 740780, ATLANTA, GA 30374-0780
(855) 223-7123

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
374700000X
Technician
Primary

Other

Enumeration date
04/19/2019
Last updated
06/23/2026
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