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Individual

GENESIS VARGAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2000 TYLER AVE, SOUTH EL MONTE, CA 91733-3543
(626) 442-1400
Mailing address
11490 BRADHURST ST, WHITTIER, CA 90606-1943
(562) 519-3275

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
03/28/2019
Last updated
09/20/2021
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