Individual
MS. MICHELLE ELAINE VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1125 E 17TH ST STE N152, SANTA ANA, CA 92701-2215
(714) 285-1100
Mailing address
835 LOCUST AVE UNIT 414, LONG BEACH, CA 90813-5857
(714) 342-1695
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
543429
CA
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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