NPI 1043456221
Desiree Vazquez, DA
Practice location
- Address
- 200 W Shaw Ave Suite 110, Clovis, CA 93612-3684
- Phone
- (559) 458-1363
- Mailing address
- 200 W. Shaw Ave Suite 110, Clovis, CA 93612-4690
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1043456221
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Dec 2008
- Record last updated
- 18 Dec 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.