Individual
DIANA G VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
25 N COTTONWOOD ST, WOODLAND, CA 95695-6609
(530) 908-6912
Mailing address
25 N COTTONWOOD ST, WOODLAND, CA 95695-6609
(530) 908-6912
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
01/10/2023
Last updated
09/18/2024
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