Individual
JASMIN VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9930 W INDIAN SCHOOL RD, PHOENIX, AZ 85037-5902
(623) 846-7558
Mailing address
530 N THOMAS RD, PHOENIX, AZ 85012-3204
(602) 422-9000
(602) 556-5951
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8850
AZ
Other
Enumeration date
03/05/2021
Last updated
12/07/2021
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