Individual
ANTONIO EDWARD VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2307 W 6TH ST, LOS ANGELES, CA 90057-3119
(760) 877-5985
Mailing address
2749 JED RD, ESCONDIDO, CA 92027-5105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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