Individual
JUAN VIGOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2704 CINDY LN, BIG SPRING, TX 79720-6709
(432) 213-6615
Mailing address
2704 CINDY LN, BIG SPRING, TX 79720-6709
(432) 213-6615
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
960388
TX
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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