Individual
ALYSSA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20719 4TH PL S, DES MOINES, WA 98198-2882
(206) 321-3791
Mailing address
20719 4TH PL S, DES MOINES, WA 98198-2882
(206) 321-3791
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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