Mr. Juan M Vasquez, NONE
Mr. Juan M Vasquez, NONE is a Mental Illness Community Based Residential Treatment Facility in Tucson, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2007
Practice location Address checks out
9264 S Wilt Bank RdTucson, AZ 85735
Phone: (520) 440-0630
Fax: (520) 319-5491
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Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X · Licence 2433 (AZ) |
|---|
Record details
| NPI number | 1912046566 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NONE |
| Sole proprietor | Yes |
| NPI enumerated | February 6, 2007 |
| Last updated in NPPES | July 8, 2007 |
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