PHILIP VASQUEZ

SAN PEDRO, CA
NPI1972101442
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  105089)
Enumeration Date2020-10-15
Last Update Date2020-10-15
Business Address
PHILIP VASQUEZ
505 S PACIFIC AVE
SAN PEDRO, CA 90731-2656
Phone number: 310-519-8723
Mailing Address
PHILIP VASQUEZ
270 W 14TH ST
SAN PEDRO, CA 90731-4396
Phone number: 310-519-8723