Individual
MS. JANE NATHALY VEGA ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
1750 E GLENDALE AVE, PHOENIX, AZ 85020-5505
(602) 242-4928
(602) 249-4813
Mailing address
1750 E GLENDALE AVE, PHOENIX, AZ 85020-5505
(602) 242-4928
(602) 249-4813
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
13-371
FL
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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