Individual
JOSE VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2263069
MA
Other
Enumeration date
07/08/2022
Last updated
02/18/2023
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