Individual
ADILENE SANDOVAL VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 S MYRTLE AVE STE 100, MONROVIA, CA 91016-3406
(657) 207-5542
Mailing address
855 S CITRUS AVE APT 113, AZUSA, CA 91702-5913
(626) 343-4809
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
02/28/2025
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