Provider Demographics
NPI:1801411970
Name:VIGIL, CINDY VASQUEZ (LVN)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:VASQUEZ
Last Name:VIGIL
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3219 SAN CARLOS DR
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91978-1028
Mailing Address - Country:US
Mailing Address - Phone:619-317-8887
Mailing Address - Fax:
Practice Address - Street 1:3219 SAN CARLOS DR
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91978-1028
Practice Address - Country:US
Practice Address - Phone:619-317-8887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-14
Last Update Date:2020-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA697541164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse