Individual
BRENDA VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2240 WINROW AVE, USA MEDDAC, RWBAHC, FORT HUACHUCA, AZ 85613
(520) 533-9949
(520) 533-6712
Mailing address
1288 LEON WAY, SIERRA VISTA, AZ 85635-1200
(520) 533-9949
(520) 533-6712
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP041492
AZ
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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