Individual
MR. JOSUE M VEGA SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1881
PR
174400000X
Specialist
1881
PR
Other
Enumeration date
06/22/2005
Last updated
09/13/2012
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