Individual
MANUEL VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2530 E SOUTHERN AVE, MESA, AZ 85204-5411
(480) 834-4188
Mailing address
25 CROSSROADS DR STE 306, OWINGS MILLS, MD 21117-5437
(602) 222-1900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
301105
AZ
Other
Enumeration date
12/18/2023
Last updated
05/20/2024
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