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Individual

HAZEL VEGA HIROSHIMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
400 TAYLOR BLVD STE 306, PLEASANT HILL, CA 94523-2160
(925) 691-9688
Mailing address
400 TAYLOR BLVD, PLEASANT HILL, CA 94523-2147
(925) 691-9688
(510) 985-2200

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95005417
CA
363LP0200X
Pediatric Nurse Practitioner
95005417
CA

Other

Enumeration date
12/29/2016
Last updated
08/08/2022
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