Individual
SUSANA M VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
9171 KEY COMMONS CT, MANASSAS, VA 20110-5300
(703) 330-3285
Mailing address
7171 CREST RIVER LN, AMISSVILLE, VA 20106-3405
(443) 955-8185
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0024170701
VA
Other
Enumeration date
03/25/2013
Last updated
08/05/2014
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