Individual
CRYSTAL RUBY VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 E 7TH ST, MADERA, CA 93638-3780
(559) 673-3508
(559) 661-2818
Mailing address
PO BOX 1288, MADERA, CA 93639-1288
(559) 673-3508
(559) 661-2818
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-KBUFCO
CA
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
03/13/2026
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