Individual
ALEXIS DIONICIO VAZQUEZ PARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3820 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-3625
(310) 632-2734
Mailing address
3820 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262-3625
(310) 632-2734
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2019
Last updated
07/21/2025
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