Individual
MS. IRENE E. VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
2191 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4534
(805) 781-5535
(805) 781-1372
Mailing address
2623 BRENTWOOD CIR, ARROYO GRANDE, CA 93420-6505
(805) 781-5535
(805) 781-1372
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN182833
CA
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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