STACEY VASQUEZ

ANAHEIM, CA
NPI1942728795
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  54832)
Enumeration Date2017-08-31
Last Update Date2021-12-03
Business Address
Mrs. STACEY VASQUEZ PA-C
1311 S ANAHEIM BLVD
ANAHEIM, CA 92805-6202
Phone number: 714-635-6400
Mailing Address
Mrs. STACEY VASQUEZ PA-C
PO BOX 532
GARDEN GROVE, CA 92842-0532
Phone number: 714-679-3013