Individual
SOPHIA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2013 SAN JOSE BLVD, CARLSBAD, NM 88220-5426
(575) 887-2455
(505) 443-8320
Mailing address
2013 SAN JOSE BLVD, CARLSBAD, NM 88220-5426
(575) 887-2455
(505) 443-8320
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2024-0145
NM
Other
Enumeration date
01/19/2016
Last updated
02/18/2025
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