ANTONIO EDWARD VASQUEZ

LOS ANGELES, CA
NPI1407476930
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-04-24
Last Update Date2020-04-24
Business Address
ANTONIO EDWARD VASQUEZ
2307 W 6TH ST
LOS ANGELES, CA 90057-3119
Phone number: 760-877-5985
Mailing Address
ANTONIO EDWARD VASQUEZ
2749 JED RD
ESCONDIDO, CA 92027-5105
Phone number: