Individual
CASSANDRA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 STANDIFORD AVE, MODESTO, CA 95350-0167
(209) 522-1093
Mailing address
2900 STANDIFORD AVE, MODESTO, CA 95350-0167
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
74571
CA
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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