Individual
ANDRES VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
28999 OLD TOWN FRONT ST STE 104, TEMECULA, CA 92590-2842
(951) 261-8392
Mailing address
28999 OLD TOWN FRONT ST STE 104, TEMECULA, CA 92590-2842
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
695329
CA
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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