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NPI Code Detail

MEDICARE: MS. JOANNA VEGA M.A.

MEDICARE:  MS. JOANNA  VEGA  M.A.
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
1376K00000XNurse's Aide

General Provider Information

NPI Number : 1598284721
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOANNA VEGA M.A.
Provider Business Mailing Address
First Line : PO BOX 213093
Second Line :
City : CHULA VISTA
State : CA
Zip : 91921-3093
Country : US
Telephone Number : 888-417-5163
Fax Number :
Provider Business Practice Location Address
First Line : 3501 E 10TH ST APT 2
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-8799
Country : US
Telephone Number : 562-221-7983
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2017
Last Update Date : 09/19/2017

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Directions to “ MS. JOANNA VEGA M.A.” Practice Location

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