Individual
JAIME VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2441 CONSTITUTION DR, LIVERMORE, CA 94551-7573
(510) 433-1150
Mailing address
570 KRIDER CT, TRACY, CA 95376-5427
(510) 701-4341
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN705285
CA
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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