Individual
JOALY VEGA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3924 RIVERVIEW DR, JURUPA VALLEY, CA 92509-6611
(951) 360-4175
(951) 683-0339
Mailing address
3924 RIVERVIEW DR, JURUPA VALLEY, CA 92509-6611
(951) 360-4175
(951) 683-0339
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CA
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
09/08/2021
Last updated
05/22/2024
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