Individual
PATRICIA IVETTE VEGA COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 PENDER DR STE 125, FAIRFAX, VA 22030-6101
(800) 404-6050
(866) 313-3397
Mailing address
PO BOX 700688, SAN ANTONIO, TX 78270-0688
(800) 404-6050
(866) 313-3397
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104558045
VA
111NR0400X
Rehabilitation Chiropractor
Primary
0104558045
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104558045
CHIROPRACTIC LICENSE
VA
Enumeration date
07/09/2025
Last updated
02/24/2026
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