Mata, Antonia Vasquez

Mata, Antonia Vasquez is an sole proprietor health care provider with primary practice located at 2500 N Palm Canyon Dr A4, Palm Springs CA 92262-1868. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Mata, Antonia Vasquez can be contacted via phone (442) 268-7000.

Contact Information

Primary practice address
2500 N Palm Canyon Dr A4 Palm Springs CA 92262-1868
Phone: (442) 268-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1568862787
LBN Legal business name Mata, Antonia Vasquez
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2014
Last updated Nov 30th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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