Individual
JESSICA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
679 S NEW HAMPSHIRE AVE STE 400, LOS ANGELES, CA 90005-1355
(213) 639-2500
Mailing address
679 S NEW HAMPSHIRE AVE STE 400, LOS ANGELES, CA 90005-1355
(213) 639-2500
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41605
CA
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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