Individual
MR. ART VASQUEZ MEDRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
7368 GREENHAVEN AVE APT 34, RANCHO CUCAMONGA, CA 91730-7314
(909) 010-1856
Mailing address
7368 GREENHAVEN AVE APT 34, RANCHO CUCAMONGA, CA 91730-7314
(909) 010-1856
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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