Judy De La Vega

NPI 1376242644 · on the registry since 2023 · sole proprietor

Practice

Address: 972 N 600 E
Spanish Fork, UT 84660
Phone: (801) 465-4896
Fax: (385) 203-0392
Organisation at this address: Revere Health Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Also registered as: 163WE0003X
Licence states on file: TX, UT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah