Stacy Jaque Vigil

NPI #1700393766 in Las Vegas, New Mexico

Provider Information

NPI Number
1700393766
Entity Type
Individual
Name
Stacy Jaque Vigil
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Dec 29, 2017
Last Updated
Apr 6, 2020

Practice Location

Address
213 CHICO DR
ZIP Code
87701-9511
Phone
(505) 429-5508

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse
Case Manager/Care Coordinator
Nurse's Aide
Licensed Practical Nurse

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