Individual
ALEXIS VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16756 CHINO CORONA RD, CORONA, CA 92880-9508
(909) 597-1771
Mailing address
16756 CHINO CORONA RD, CORONA, CA 92880-9508
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/15/2024
Last updated
06/15/2024
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