Individual
BERENICE ESPERANZA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
17284 SLOVER AVE STE 201, FONTANA, CA 92337-7584
(909) 609-3172
Mailing address
9733 MILLS AVE, MONTCLAIR, CA 91763-2629
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95003502
CA
363LF0000X
Family Nurse Practitioner
Primary
95003502
CA
Other
Enumeration date
03/28/2016
Last updated
12/06/2021
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