Individual
ANA MARIA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 955-7320
Mailing address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 955-7320
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
109969
CA
106H00000X
Marriage & Family Therapist
76587
CA
Other
Enumeration date
11/20/2013
Last updated
05/03/2021
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