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Individual
NATALIA VESTAL
Active
Individual
NATALIA VESTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9117335
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120999000
—
FL
01
—
VIWQK
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/23/2021
Last updated
04/03/2024
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