Individual
DR. DIANA VEGA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7260 W BELL RD, GLENDALE, AZ 85308-8539
(623) 486-1888
(623) 486-8001
Mailing address
1021 W HORSESHOE AVE, GILBERT, AZ 85233-5265
(480) 276-9983
(480) 892-7580
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1784
AZ
152W00000X
Optometrist
OPC4536
FL
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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