Provider Demographics
NPI:1336788595
Name:ZUNIGA VAZQUEZ, MARIA ESTHER (RDO)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ESTHER
Last Name:ZUNIGA VAZQUEZ
Suffix:
Gender:F
Credentials:RDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-3381
Mailing Address - Country:US
Mailing Address - Phone:707-699-1507
Mailing Address - Fax:
Practice Address - Street 1:770 MAIN ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-3381
Practice Address - Country:US
Practice Address - Phone:707-699-1507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-04
Last Update Date:2020-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARDO71073156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician