Individual
FIDELIA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2133 3RD AVE, SEATTLE, WA 98121-2385
(206) 849-4402
Mailing address
2133 3RD AVE, SEATTLE, WA 98121-2385
(206) 883-2031
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
CG60645581
WA
Other
Enumeration date
12/17/2018
Last updated
08/24/2020
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