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Individual

DR. CHRISTINE VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, APRN, FNP-C

Contact information

Practice address
6991 BALBOA AVE RM 70, SAN DIEGO, CA 92111-3447
(858) 496-8232
(858) 496-8234
Mailing address
9133 SYCAMORE LEAF DR, FORT WORTH, TX 76179-5231
(430) 558-3274

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95067577
CA
363L00000X
Nurse Practitioner
1104220
TX
363L00000X
Nurse Practitioner
Primary
95015590
CA

Other

Enumeration date
06/04/2020
Last updated
04/17/2023
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