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Individual

FANNY VEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1700 S AMPHLETT BLVD STE 120, SAN MATEO, CA 94402-2711
(650) 507-3193
Mailing address
532 HENSLEY AVE, SAN BRUNO, CA 94066-4315
(415) 418-9904

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
04/30/2025
Last updated
04/30/2025
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