Individual
ALICIA Y VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11500 PARAMOUNT BLVD, DOWNEY, CA 90241-4530
(562) 923-4500
Mailing address
318 W OPP ST APT 3, WILMINGTON, CA 90744-3436
(424) 477-8709
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14658
CA
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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