Individual
ANGELA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 WATER ST, SANTA CRUZ, CA 95060-4017
(831) 454-2150
Mailing address
PO BOX 1812, SANTA CRUZ, CA 95061-1812
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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