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NPI Code Detail

MEDICARE: JESSICA RAE VAZQUEZ RN

MEDICARE:   JESSICA RAE VAZQUEZ  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WW0101XAmbulatory Women's Health Care Registered Nurse95150839CA

General Provider Information

NPI Number : 1346108321
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA RAE VAZQUEZ RN
Provider Business Mailing Address
First Line : 1303 N LINCOLN ST
Second Line :
City : BURBANK
State : CA
Zip : 91506-1211
Country : US
Telephone Number : 213-215-6812
Fax Number :
Provider Business Practice Location Address
First Line : 1303 N LINCOLN ST
Second Line :
City : BURBANK
State : CA
Zip : 91506-1211
Country : US
Telephone Number : 213-215-6812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2026
Last Update Date : 01/09/2026

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Directions to “ JESSICA RAE VAZQUEZ RN” Practice Location

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