Individual
ADRIAN GRANT VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 WILLOWBROOK DR, BEN LOMOND, CA 95005-9714
(831) 336-5196
Mailing address
155 WILLOWBROOK DR, BEN LOMOND, CA 95005-9714
(831) 336-5196
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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