Individual
SUN WILTSE VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
JD
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507
(505) 216-2727
Mailing address
29 RITO GUICU, SANTA FE, NM 87507-4321
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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