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Individual

JACQUELYNNE VARGAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
313 S 14TH AVE, YAKIMA, WA 98902-3104
(509) 457-3011
Mailing address
313 S 14TH AVE, YAKIMA, WA 98902-3104
(509) 457-3011

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA00139338
WA

Other

Enumeration date
06/10/2008
Last updated
06/29/2009
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