Individual
ANDREA VAZQUEZ CORNELIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SOUTH WELLS RD., VENTURA, CA 93007
(805) 659-1740
Mailing address
36218 MAGELLAN DR, FREMONT, CA 94536-5514
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
64165
CA
Other
Enumeration date
06/17/2011
Last updated
04/01/2014
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