Individual
JESSICA VIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 THIRD AVE, CHULA VISTA, CA 91911-3136
(619) 498-8260
Mailing address
1095 CAMINO CANTERA, CHULA VISTA, CA 91913-3347
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
287671
CA
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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