Individual
ELVA LETICIA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9518 GRANDVIEW SPRING AVE, LAS VEGAS, NV 89166-3753
(805) 616-4860
Mailing address
9518 GRANDVIEW SPRING AVE, LAS VEGAS, NV 89166-3753
(805) 616-4860
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/05/2016
Last updated
11/05/2016
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