Jake Bubba Vasquez

NPI #1699913624 in Paradise, California

Provider Information

NPI Number: 1699913624
Entity Type: Individual
Name: Jake Bubba Vasquez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Rehabilitation Counselor
Enumeration Date: Jan 29, 2009
Last Updated: Jan 29, 2009

Practice Location

Address: 7204 SKYWAY
City: Paradise
State: California
ZIP Code: 95969-3280
Phone: (530) 872-2103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation Counselor	225C00000X	Primary

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