Provider Demographics
NPI:1205163870
Name:VASQUEZ, YVONNE (LVN)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:VASQUEZ
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:YVONNE
Other - Middle Name:
Other - Last Name:ALVAREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4974 EL CAJON BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92115-4654
Mailing Address - Country:US
Mailing Address - Phone:619-286-4600
Mailing Address - Fax:
Practice Address - Street 1:4974 EL CAJON BLVD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115-4654
Practice Address - Country:US
Practice Address - Phone:619-286-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-03
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA244166164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse