Individual
TABITHA VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EMT
Contact information
Practice address
814 SOUTH ELEANOR AVE, YUMA, AZ 85364
(470) 363-9765
Mailing address
814 SOUTH ELEANOR AVE, YUMA, AZ 85364
(470) 363-9765
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E034360
GA
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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