Individual
ANDREA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12898 TOWNE CENTER DR, CERRITOS, CA 90703-8546
(562) 641-3215
Mailing address
520 KINLEY ST, LA HABRA, CA 90631-4317
(562) 641-3215
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95011089
CA
Other
Enumeration date
02/06/2019
Last updated
12/14/2022
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