Individual
JOSELYN VAZQUEZ PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 TULLY RD STE 301, SAN JOSE, CA 95122-3055
(408) 607-9447
Mailing address
1340 TULLY RD STE 301, SAN JOSE, CA 95122-3055
(408) 607-9447
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
Primary
MPSS-JIMBSU
CA
Other
Enumeration date
03/20/2024
Last updated
07/20/2026
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