Individual
ALICIA GARCIA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
7109 DANNY DR, STOCKTON, CA 95210-5320
(209) 957-7777
Mailing address
3136 E NEVADA AVE, FRESNO, CA 93702-1929
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
0150690316
CA
Other
Enumeration date
03/09/2017
Last updated
01/31/2019
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