Individual
CYNTHIA ESTHER VEGA-HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
192 INDIANOLA RD, BOARDMAN, OH 44512
(631) 383-0221
Mailing address
192 INDIANOLA RD, BOARDMAN, OH 44512
(631) 383-0221
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2412321
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02021438
—
NY
Enumeration date
08/25/2008
Last updated
08/25/2008
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