Individual
YVETTH ANDREA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12141 BROOKHURST ST STE 201, GARDEN GROVE, CA 92840-2865
(657) 261-7140
Mailing address
12141 BROOKHURST ST STE 201, GARDEN GROVE, CA 92840-2865
(657) 261-7140
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-KLNJAR
CA
Other
Enumeration date
06/05/2023
Last updated
01/05/2026
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