Individual
ANDREA JACQUELINE VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 N AURORA ST, STOCKTON, CA 95202-2343
(209) 468-9370
Mailing address
1772 DECARLI ST, STOCKTON, CA 95206-5711
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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