Individual
MARY CATHERINE VASQUEZ LEDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 E SANTA CLARA ST, SAN JOSE, CA 95113-1936
(408) 438-6260
Mailing address
425 E SANTA CLARA ST, SAN JOSE, CA 95113-1936
(408) 438-6260
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-RVZNPC
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
05/16/2016
Last updated
04/29/2026
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