Individual
KRISTENE VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2320 LAKESHORE DR, KANSASVILLE, WI 53139-9557
(262) 878-5380
Mailing address
2320 LAKESHORE DR, PO BOX 122, KANSASVILLE, WI 53139-9557
(262) 878-5380
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
175297-030
WI
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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