Provider Demographics
NPI:1447065693
Name:VAZQUEZ-WALTERS, MARIA TRINIDAD (DC)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:TRINIDAD
Last Name:VAZQUEZ-WALTERS
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 5TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-1854
Mailing Address - Country:US
Mailing Address - Phone:916-343-0764
Mailing Address - Fax:
Practice Address - Street 1:570 5TH ST STE 200
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648-1854
Practice Address - Country:US
Practice Address - Phone:916-343-0764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36809111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor