Individual
JAZMINE VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 LARCH ST, SCRANTON, PA 18509-2802
(570) 489-5561
Mailing address
1335 AMHERST ST, SCRANTON, PA 18504-3040
(347) 355-4868
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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