Johnny Vega Merchant Valid NPI
Individual provider · Child Mental Illness Respite Care · Sahuarita, AZ
- NPI
- 1154508554
- Type
- Individual (Type 1)
- Primary specialty
- Child Mental Illness Respite Care (Respite Care)
- Specialty group
- Respite Care Facility
- Taxonomy code
- 385HR2055X
- License number
- 12286 (AZ)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2008-01-28
- Last updated
- 2008-01-28
Practice location
16330 S Delgado Rd
Sahuarita, AZ 85629-8378
(520) 625-7616