Individual
CAROLINA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSE
Contact information
Practice address
265 S ANITA DR STE 202, ORANGE, CA 92868-3346
(949) 749-2500
Mailing address
2232 E LENITA LN APT E, SANTA ANA, CA 92705-7967
(714) 866-0476
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN715668
CA
Other
Enumeration date
04/08/2021
Last updated
09/18/2024
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