Individual
MRS. TRACI RENEE VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10418 VALLEY BLVD, EL MONTE, CA 91731-3600
(626) 453-8466
(626) 453-8465
Mailing address
10418 VALLEY BLVD, EL MONTE, CA 91731-3600
(626) 453-8466
(626) 453-8465
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
462956
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
16153
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP16153
BOARD OF NURSING CA
CA
01
—
RN462956
BOARD OF NURSING CA
CA
Enumeration date
03/21/2007
Last updated
06/06/2012
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