| Doctor Name: | JENNA VASQUEZ GARCIA |
| NPI Number: | 1376984096 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 22859 |
| Business Practice Address: | 1108 Ward Ave Bldg A, Suite 1 Patterson, CA - 953638529 |
| Business Phone Number: | 2098921300 |
| Business Fax Number: | 2097804141 |
| Mailing Address: | 1108 Ward Ave, Bldg A, Suite 1 PATTERSON |
| State: | CA |
| Postal Code: | 953638529 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/10/2013 |
| NPI Last Update Date: | 07/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 22859 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |