Individual
MRS. STACEY JANE VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LEP, PPS
Contact information
Practice address
9924 BELLA VISTA DR, RIVERSIDE, CA 92503-5401
(951) 743-4689
Mailing address
9924 BELLA VISTA DR, RIVERSIDE, CA 92503-5401
(951) 743-4689
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
LEP4163
CA
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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