Individual
KARMARYS VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 MERRIMACK ST. BUILDING 5 DOOR H, LAWRENCE, MA 01843
(978) 688-4830
Mailing address
360 MERRIMACK ST. BUILDING 5 DOOR H, LAWRENCE, MA 01843
(978) 688-4830
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100019246816
MASSHEALTH TUFTS TOGETHER HEALTH PLAN
MA
01
—
S5216620
DRIVERS LICENSE
MA
Enumeration date
12/26/2016
Last updated
11/30/2020
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