Jennifer Vega

NPI #1073289385 in Sugar Hill, Georgia

Provider Information

NPI Number: 1073289385
Entity Type: Individual
Name: Jennifer Vega
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Aug 17, 2021
Last Updated: Aug 17, 2021

Practice Location

Address: 1969 BRIARCLIFF WAY
City: Sugar Hill
State: Georgia
ZIP Code: 30518-2981
Phone: (781) 469-6919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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