Individual
DANE HENDRIX VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3539 COLLEGE AVE # CA92115, SAN DIEGO, CA 92115-7032
(619) 818-3788
Mailing address
3539 COLLEGE AVE # CA92115, SAN DIEGO, CA 92115-7032
(619) 818-3788
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/13/2021
Last updated
03/17/2022
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