Individual
GRISEL STEPHANIE VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 THE ALAMEDA, SAN JOSE, CA 95126-1136
(408) 261-7777
Mailing address
789 MABURY RD, SAN JOSE, CA 95133-1023
(408) 876-7857
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/26/2021
Last updated
09/26/2021
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