Individual
MRS. COLLEEN ANNE VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.S.
Contact information
Practice address
1464 MARCIA AVE, SAN JOSE, CA 95125-4760
(831) 359-2405
Mailing address
1464 MARCIA AVE, SAN JOSE, CA 95125-4760
(831) 359-2405
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
3683
CA
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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