Individual
ELVIRA VEGA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 W BEACH ST, WATSONVILLE, CA 95076-4504
(831) 763-8972
Mailing address
12 W BEACH ST, WATSONVILLE, CA 95076-4504
(831) 763-8972
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
2384940
CA
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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