Individual
WILLIAM MIGUEL VEGA-SEPULVEDA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LND
Contact information
Practice address
BARRIADA ROOSEVELT, 172 CALLE SAN ISIDRO, FAJARDO, PR 00738
(414) 204-9486
Mailing address
BARRIADA ROOSEVELT, 172 CALLE SAN ISIDRO, FAJARDO, PR 00738
(414) 204-9486
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
2071
PR
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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