Most Relevant Information
Provider Data
| NPI Number: | 1003567892 |
| Provider Name: | SANDRA AURORA VEGA CMPSS |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: | MPSS-PKEDNL |
Most Important Dates
| Enumeration Date: | 01/12/2022 |
| Last Updated: | 11/05/2024 |
Provider Practice Location
101 CIRBY HILLS DR
ROSEVILLE
CA
956784360
Practice Location Phone/Fax
| Phone: | 9167878800 |
| Fax: |
Provider Mailing Location
101 CIRBY HILLS DR
ROSEVILLE
CA
956784360
Provider Mailing Phone/Fax
| Phone: | 9168726526 |
| Fax: |