Organization
MAMA VEGA ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARMENE MARJORIE VEGA MS, D.H.L. (H.C.) (OWNER)
(661) 532-8342
Entity
Organization
Contact information
Practice address
1512 18TH ST, BAKERSFIELD, CA 93301-4402
(661) 532-8342
Mailing address
10019 ALLSPICE ROSE CT, BAKERSFIELD, CA 93311-3763
(661) 532-8342
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
06/18/2025
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