Individual
MS. GRACIELA ARMANDA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
117 SUMMER LEIGH DR, STOCKBRIDGE, GA 30281-7114
(770) 317-7195
Mailing address
117 SUMMER LEIGH DR, STOCKBRIDGE, GA 30281-7114
(770) 317-7195
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024055124
GA
Other
Enumeration date
10/23/2024
Last updated
10/29/2024
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