Individual
IDAMARIS VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B. A.
Contact information
Practice address
511 E COLUMBUS AVE, SPRINGFIELD, MA 01105-2506
(413) 827-8959
Mailing address
140 HIGH ST STE 230, SPRINGFIELD, MA 01105-1435
(413) 885-3864
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/30/2015
Last updated
12/04/2020
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