Individual
CHELSIE VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2412 Q ST APT 2, SACRAMENTO, CA 95816-6838
(916) 873-7212
Mailing address
2412 Q ST APT 2, SACRAMENTO, CA 95816-6838
(916) 873-7212
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07303518
KAISER
—
Enumeration date
01/25/2021
Last updated
01/25/2021
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