Individual
MS. DIANA L VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1728 CHURCHILL DOWNS RD, APT A, NEWARK, OH 43055-3288
(740) 366-7497
Mailing address
1728 CHURCHILL DOWNS RD APT A, NEWARK, OH 43055-3289
(740) 366-7497
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN041723
OH
Other
Enumeration date
07/27/2008
Last updated
07/27/2008
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