Individual
MICHEAL VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1615 S CONGRESS AVE STE 103, DELRAY BEACH, FL 33445-6326
(202) 674-3639
Mailing address
3831 HAMILTON ST APT 101, HYATTSVILLE, MD 20781-1835
(202) 674-3639
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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