Individual
CHERYL VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
8634 W CASA GRANDE CT, BOISE, ID 83714-2097
(208) 801-0210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
54928
ID
Other
Enumeration date
01/03/2025
Last updated
01/06/2025
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