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NPI Code Detail

MEDICARE: NANCY ABELLERA VAZQUEZ

MEDICARE: NANCY ABELLERA VAZQUEZ
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
1103TC0700XClinical PsychologistPSY36390CA

General Provider Information

NPI Number : 1700092053
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY ABELLERA VAZQUEZ
Provider Business Mailing Address
First Line : 1131 COMMUNITY PKWY
Second Line :
City : HOLLISTER
State : CA
Zip : 95023-2816
Country : US
Telephone Number : 831-636-4020
Fax Number :
Provider Business Practice Location Address
First Line : 1131 COMMUNITY PKWY
Second Line :
City : HOLLISTER
State : CA
Zip : 95023-2816
Country : US
Telephone Number : 831-636-4020
Fax Number : 831-636-4025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 04/24/2026

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1417336793 — LINDSAY OWENS
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Directions to “ NANCY ABELLERA VAZQUEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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