Individual
CITTLALY BERENICE VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
10902 TAMARACK AVE, PACOIMA, CA 91331-2815
(818) 358-9961
Mailing address
10902 TAMARACK AVE, PACOIMA, CA 91331-2815
(818) 358-9961
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP772
CA
Other
Enumeration date
06/07/2020
Last updated
06/22/2020
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