Most Relevant Information
Provider Data
| NPI Number: | 1003571035 |
| Provider Name: | ELVIRA VAZQUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/04/2021 |
| Last Updated: | 12/11/2023 |
Provider Practice Location
265 S ANITA DR STE 102-104
ORANGE
CA
928683355
Practice Location Phone/Fax
| Phone: | 7144103500 |
| Fax: |
Provider Mailing Location
14631 S LIME AVE
COMPTON
CA
902212522
Provider Mailing Phone/Fax
| Phone: | 5626596319 |
| Fax: |