Individual
ANGEL DANIEL VAZQUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1173 FRONT ST, SAN DIEGO, CA 92101-3904
(619) 610-1647
Mailing address
615 2ND AVE, CHULA VISTA, CA 91910-5935
(619) 779-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95376172
CA
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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