JEFFREY EDWARD VASQUEZ

PICO RIVERA, CA
NPI1740614114
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-08-21
Last Update Date2013-08-21
Business Address
-- JEFFREY EDWARD VASQUEZ
8207 WHITTIER BLVD
PICO RIVERA, CA 90660-2521
Phone number: 562-965-0737
Mailing Address
-- JEFFREY EDWARD VASQUEZ
8207 WHITTIER BLVD
PICO RIVERA, CA 90660-2521
Phone number: 562-965-0737
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