Individual
KANDI VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1149 N. CALIFORNIA STREET, STOCKTON, CA 95202
(209) 468-2337
Mailing address
1149 N. CALIFORNIA STREET, STOCKTON, CA 95202
(209) 468-2337
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A3184928
CA
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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