Individual
JEAN PAUL DENNIS VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
96 MICHAEL RD APT F, NEW LONDON, CT 06320-2451
(862) 668-6788
Mailing address
96 MICHAEL RD APT F, NEW LONDON, CT 06320-2451
(862) 668-6788
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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