Most Relevant Information
Provider Data
| NPI Number: | 1003322462 |
| Provider Name: | SERENITY MARIE ELIAS-VASQUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/21/2017 |
| Last Updated: | 02/06/2024 |
Provider Practice Location
96 S 14TH ST
SAN JOSE
CA
95112
Practice Location Phone/Fax
| Phone: | 4089983293 |
| Fax: |
Provider Mailing Location
1922 THE ALAMEDA STE 316
SAN JOSE
CA
951261461
Provider Mailing Phone/Fax
| Phone: | 4082617777 |
| Fax: | 4086426052 |