Individual
NEISY L VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7267 W 24TH AVE APT 124, HIALEAH, FL 33016-6550
(786) 312-0403
Mailing address
7267 W 24TH AVE APT 124, HIALEAH, FL 33016-6550
(786) 312-0403
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/29/2016
Last updated
04/03/2017
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