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Individual

VANESSA VAZQUEZ VIDAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
121 W SIERRA ST, KINGSBURG, CA 93631-1756
(559) 326-5320
Mailing address
5660 N TRACY AVE, FRESNO, CA 93722-2571
(559) 307-9451

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95027685
CA

Other

Enumeration date
10/18/2023
Last updated
03/18/2024
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