Individual
JACLYN VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11041 VALLEY BLVD, EL MONTE, CA 91731-2516
(626) 442-4177
Mailing address
11041 VALLEY BLVD, EL MONTE, CA 91731-2516
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
270851
CA
Other
Enumeration date
08/25/2019
Last updated
08/25/2019
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