Individual
AIDA F VASCONEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35889 ARNETT RD, WILDOMAR, CA 92595-7653
(051) 678-7383
Mailing address
35889 ARNETT RD, WILDOMAR, CA 92595-7653
(951) 678-7383
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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