Individual
DESIREE VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 CHERRY LN STE 101, MANTECA, CA 95337-4311
(209) 647-6200
Mailing address
302 CHERRY LN STE 101, MANTECA, CA 95337-4311
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
COUNSELOR
—
101Y00000X
Counselor
—
CA
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
03/27/2025
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