Individual
MR. ERNESTO VEGA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ERNESTO VEGA
Contact information
Practice address
100 PARK BLVD, SAN DIEGO, CA 92101-7405
(530) 354-6533
Mailing address
1757 DUFFY WAY, SAN JOSE, CA 95116-3065
(530) 354-6533
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/05/2006
Last updated
05/05/2009
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