Individual
AMANDA RUTH VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1087 W BUXTON ST, RIALTO, CA 92377-4231
(909) 653-3564
Mailing address
1087 W BUXTON ST, RIALTO, CA 92377-4231
(909) 653-3564
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8104
CA
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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