Individual
ARIANE BERENICE VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 CLUB DR, VALLEJO, CA 94592-1187
(707) 638-5809
Mailing address
2621 GREEN RIVER RD STE 105-161, CORONA, CA 92882-7433
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
12/13/2024
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