Individual
ANDRE VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PPS
Contact information
Practice address
3100 N ROSE AVE, OXNARD, CA 93036-1807
(805) 485-3119
Mailing address
3100 N ROSE AVE, OXNARD, CA 93036-1807
(805) 485-3119
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
210177373
CA
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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