Individual
JESSICA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1295 W STATE ST, EL CENTRO, CA 92243-2845
(760) 336-8532
Mailing address
1295 W STATE ST, EL CENTRO, CA 92243-2845
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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