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Individual

CARLOS VAZQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4139 EL CAMINO WAY, PALO ALTO, CA 94306-4010
(650) 999-7069
(408) 642-6052
Mailing address
1922 THE ALAMEDA STE 316, SAN JOSE, CA 95126-1461
(408) 261-7777
(408) 642-6052

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CA

Other

Enumeration date
06/16/2025
Last updated
06/16/2025
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