Most Relevant Information
Provider Data
| NPI Number: | 1003372509 |
| Provider Name: | LURDE VASQUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/20/2019 |
| Last Updated: | 02/20/2019 |
Provider Practice Location
5284 ADOLFO RD STE 100
CAMARILLO
CA
930126790
Practice Location Phone/Fax
| Phone: | 8052890120 |
| Fax: |
Provider Mailing Location
5284 ADOLFO RD STE 100
CAMARILLO
CA
930126790
Provider Mailing Phone/Fax
| Phone: | 8052890120 |
| Fax: |