Individual
EDGAR GERARDO VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
131 W MIDWAY DR, ANAHEIM, CA 92805-6507
(714) 517-7107
(714) 956-1990
Mailing address
131 W MIDWAY DR, ANAHEIM, CA 92805-6507
(714) 517-7107
(714) 956-1990
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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