Individual
MRS. ROSA IVETTE VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 N BROAD ST, 8TH FL, PHILADELPHIA, PA 19102-1510
(215) 568-0860
(215) 568-0769
Mailing address
3844 BENNINGTON ST, PHILADELPHIA, PA 19124-5420
(215) 288-0522
(215) 288-0522
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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