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Individual

BRENDA VASQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3460 E ORANGETHORPE AVE STE A, ANAHEIM, CA 92806-1147
(714) 264-2272
Mailing address
4705 E MAYCHELLE DR, ANAHEIM, CA 92807-3011
(714) 264-2272

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L9434
CA

Other

Enumeration date
01/23/2018
Last updated
03/17/2018
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