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NPI Code Detail

MEDICARE: MOLLY ANNE VASQUEZ

MEDICARE: MOLLY ANNE VASQUEZ
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
1235Z00000XSpeech-Language Pathologist30912CA

General Provider Information

NPI Number : 1861322331
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY ANNE VASQUEZ
Provider Business Mailing Address
First Line : 4400 ALMA AVE
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-3104
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4400 ALMA AVE
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-3104
Country : US
Telephone Number : 510-537-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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Directions to “ MOLLY ANNE VASQUEZ ” 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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