Individual
ANGELICA LYNNETTE VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
146 STATE ROUTE 104 APT 4E, ONTARIO, NY 14519-8944
(607) 346-3361
Mailing address
146 STATE ROUTE 104 APT 4E, ONTARIO, NY 14519-8944
(607) 346-3361
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
33299
NY
164W00000X
Licensed Practical Nurse
332999
NY
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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