Individual
WILFREDO VASQUEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6407 W OSBORN RD, PHOENIX, AZ 85033-4562
(480) 318-9075
Mailing address
6407 W OSBORN RD, PHOENIX, AZ 85033-4562
(480) 318-9075
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
AZ
Other
Enumeration date
06/30/2025
Last updated
07/13/2025
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