Individual
JOHANNA VEGA-HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
HIGHWAY 264, MILE POST 388, POLACCA, AZ 86042
(928) 737-6395
Mailing address
PO BOX 4000, POLACCA, AZ 86042-4000
(928) 737-6395
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R44308
CT
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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