Individual
AMY RUTH VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4497 MAPLE CHASE TRL, KISSIMMEE, FL 34758-3509
(407) 361-8970
Mailing address
4497 MAPLE CHASE TRAIL, KISSIMMEE, FL 34758
(407) 861-8970
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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