Individual
JAZZMINE VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6026 CASTANA AVE, LAKEWOOD, CA 90712-1018
(562) 336-3126
Mailing address
12350 DEL AMO BLVD APT 316, LAKEWOOD, CA 90715-1704
(562) 336-3126
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Enumeration date
01/05/2018
Last updated
03/17/2018
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