Individual
PAUL VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
765 W CALLE DE CASAS LINDAS, TUCSON, AZ 85756-6462
(520) 237-7510
Mailing address
765 W CALLE DE CASAS LINDAS, TUCSON, AZ 85756-6462
(520) 237-7510
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
3965617
AZ
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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