Individual
DIANA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
631 H ST, SACRAMENTO, CA 95814-2302
(916) 737-5555
Mailing address
631 H ST, SACRAMENTO, CA 95814-2302
(916) 737-5555
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
703059
CA
Other
Enumeration date
03/23/2023
Last updated
11/13/2024
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