Individual
JENNY VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9907 GRAPE ST, WATTS, CA 90002-3112
(323) 890-6415
Mailing address
9907 GRAPE ST, WATTS, CA 90002-3112
(323) 890-6415
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
86095
CA
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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