Individual
AARON SAMUEL VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1105 MEMORIAL DR, ARTESIA, NM 88210-1189
(575) 746-9848
(575) 746-9840
Mailing address
1718 E LINCOLN RD APT K2070, SPOKANE, WA 99217-7787
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2015-0074
NM
Other
Enumeration date
09/18/2014
Last updated
10/05/2015
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