Individual
ZACHARY JUSTIN VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8243 JACKSON AVE, MUNSTER, IN 46321-1632
(787) 243-1588
Mailing address
8243 JACKSON AVE, MUNSTER, IN 46321-1632
(787) 243-1588
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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