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Individual

AIME VAZQUEZ I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5151 MURPHY CANYON RD STE 150, SAN DIEGO, CA 92123-4480
(619) 275-4525
(619) 275-4526
Mailing address
625 FAIR OAKS AVE STE 200, SOUTH PASADENA, CA 91030-2694
(619) 275-4525
(619) 275-4526

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
10/13/2021
Last updated
10/13/2021
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