MEDICARE: JUDEMISE DIEUJUSTE-VEGA

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
1	374J00000X	Doula		MA
2	163W00000X	Registered Nurse	RN2299734	MA

General Provider Information

NPI Number	:	1154275345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDEMISE DIEUJUSTE-VEGA

Provider Business Mailing Address
First Line	:	67 E COTTAGE ST APT 202
Second Line	:
City	:	DORCHESTER
State	:	MA
Zip	:	02125-4808
Country	:	US
Telephone Number	:	617-505-8435
Fax Number	:

Provider Business Practice Location Address
First Line	:	67 E COTTAGE ST APT 202
Second Line	:
City	:	DORCHESTER
State	:	MA
Zip	:	02125-4808
Country	:	US
Telephone Number	:	617-505-8435
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2026
Last Update Date	:	05/06/2026

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Directions to “ JUDEMISE DIEUJUSTE-VEGA ” Practice Location

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