Individual
SALVADOR VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1405 SPRUCE ST, RIVERSIDE, CA 92507-2464
(951) 715-5050
Mailing address
1820 UNIVERSITY AVE, RIVERSIDE, CA 92507-5355
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
D3214096
CA
251B00000X
Case Management Agency
Primary
—
CA
Other
Enumeration date
05/14/2018
Last updated
02/11/2022
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