Individual
JOSHUA JESUS VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-S2
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(772) 359-4373
Mailing address
60 ELDERBERRY ST, SELMA, NC 27576-3264
(772) 359-4373
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
09/17/2025
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